Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $234.42 / $1,905.46	Facility		$93.33	$234.42	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $190.55 / $338.84	Professional		$85.11	$190.55	$338.84
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 $114.82 / $263.03 / $794.33	Professional		$114.82	$263.03	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $645.65 / $1,047.13	Facility		$562.34	$645.65	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $316.23 / $794.33	Professional		$117.49	$316.23	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $199.53 / $2,238.72	Facility		$91.20	$199.53	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $549.54	Professional		$158.49	$309.03	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $208.93 / $3,235.94	Facility		$93.33	$208.93	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $478.63 / $1,548.82	Professional		$194.98	$478.63	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $316.23 / $758.58	Professional		$154.88	$316.23	$758.58
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 $114.82 / $457.09 / $1,479.11	Professional		$114.82	$457.09	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $794.33	Professional		$309.03	$309.03	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $1,047.13	Professional		$309.03	$467.74	$1,047.13
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 $95.50 / $208.93 / $524.81	Professional		$95.50	$208.93	$524.81