Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $177.83 / $1,905.46	Facility		$100.00	$177.83	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $478.63	Professional		$91.20	$158.49	$478.63
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 $120.23 / $218.78 / $630.96	Professional		$120.23	$218.78	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $741.31	Facility		$398.11	$467.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $275.42 / $630.96	Professional		$117.49	$275.42	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $2,630.27	Facility		$95.50	$154.88	$2,630.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $398.11	Professional		$165.96	$263.03	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $162.18 / $1,230.27	Facility		$95.50	$162.18	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $1,122.02	Professional		$147.91	$275.42	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $549.54	Professional		$154.88	$295.12	$549.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $588.84	Facility		$239.88	$239.88	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $323.59 / $1,071.52	Professional		$104.71	$323.59	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $758.58	Professional		$407.38	$537.03	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $436.52	Professional		$100.00	$169.82	$436.52