Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $204.17 / $14,454.40	Facility		$107.15	$204.17	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $204.17	Professional		$93.33	$109.65	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $478.63	Professional		$97.72	$186.21	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $478.63	Facility		$257.04	$302.00	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $416.87	Professional		$107.15	$229.09	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $131.83 / $2,818.38	Facility		$93.33	$131.83	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $338.84	Professional		$173.78	$213.80	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $7,244.36	Facility		$95.50	$141.25	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $741.31	Professional		$97.72	$177.83	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $354.81	Professional		$128.82	$229.09	$354.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $489.78 / $741.31	Professional		$107.15	$489.78	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $501.19	Professional		$316.23	$398.11	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $380.19	Professional		$93.33	$141.25	$380.19