Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,548.82 / $3,801.89	Facility		$93.33	$1,548.82	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $380.19	Professional		$83.18	$151.36	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $302.00 / $724.44	Professional		$114.82	$302.00	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $1,288.25	Facility		$691.83	$794.33	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $316.23 / $1,000.00	Professional		$109.65	$316.23	$1,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $144.54 / $2,238.72	Facility		$77.62	$144.54	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $676.08	Professional		$158.49	$346.74	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $3,235.94	Facility		$77.62	$154.88	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $331.13 / $1,862.09	Professional		$134.90	$331.13	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $363.08 / $912.01	Professional		$144.54	$363.08	$912.01
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 $109.65 / $512.86 / $1,819.70	Professional		$109.65	$512.86	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $1,288.25	Professional		$269.15	$489.78	$1,288.25
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 $91.20 / $158.49 / $457.09	Professional		$91.20	$158.49	$457.09