Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $426.58 / $14,454.40	Facility		$229.09	$426.58	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $426.58	Professional		$190.55	$229.09	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $1,000.00	Professional		$194.98	$389.05	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $630.96 / $1,000.00	Facility		$537.03	$630.96	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $467.74 / $870.96	Professional		$218.78	$467.74	$870.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $257.04 / $2,818.38	Facility		$162.18	$257.04	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $660.69	Professional		$363.08	$446.68	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $3,019.95	Facility		$162.18	$269.15	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $1,548.82	Professional		$199.53	$346.74	$1,548.82
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 $275.42 / $501.19 / $776.25	Professional		$275.42	$501.19	$776.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $2,754.23	Facility		$1,862.09	$2,754.23	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $1,000.00 / $1,513.56	Professional		$218.78	$1,000.00	$1,513.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,047.13	Professional		$630.96	$758.58	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,677.35	Facility		$2,344.23	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $776.25	Professional		$190.55	$275.42	$776.25