Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $309.03 / $891.25	Facility		$223.87	$309.03	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $407.38	Professional		$107.15	$204.17	$407.38
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 $138.04 / $295.12 / $776.25	Professional		$138.04	$295.12	$776.25
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 $134.90 / $331.13 / $870.96	Professional		$134.90	$331.13	$870.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $181.97 / $2,238.72	Facility		$100.00	$181.97	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $562.34	Professional		$199.53	$346.74	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.98 / $1,202.26	Facility		$100.00	$194.98	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $1,548.82	Professional		$181.97	$436.52	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $741.31	Professional		$194.98	$371.54	$741.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $1,513.56	Facility		$501.19	$1,513.56	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $467.74 / $1,479.11	Professional		$134.90	$467.74	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $1,047.13	Professional		$346.74	$588.84	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $549.54	Professional		$112.20	$204.17	$549.54