Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $204.17 / $1,905.46	Facility		$77.62	$204.17	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $162.18 / $302.00	Professional		$70.79	$162.18	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $229.09 / $676.08	Professional		$95.50	$229.09	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $562.34 / $912.01	Facility		$489.78	$562.34	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $257.04 / $691.83	Professional		$89.13	$257.04	$691.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $162.18 / $2,238.72	Facility		$69.18	$162.18	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $478.63	Professional		$131.83	$263.03	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $165.96 / $3,235.94	Facility		$69.18	$165.96	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $371.54 / $1,348.96	Professional		$165.96	$371.54	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $263.03 / $645.65	Professional		$123.03	$263.03	$645.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $3,630.78	Facility		$2,454.71	$3,630.78	$3,630.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $398.11 / $1,258.93	Professional		$89.13	$398.11	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $912.01	Professional		$229.09	$389.05	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $446.68	Professional		$75.86	$173.78	$446.68