Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $323.59 / $1,905.46	Facility		$87.10	$323.59	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $446.68	Professional		$79.43	$213.80	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,754.40	Facility		$2,238.72	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $338.84 / $977.24	Professional		$109.65	$338.84	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $1,445.44	Facility		$776.25	$912.01	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $309.03 / $1,071.52	Professional		$102.33	$309.03	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $213.80 / $2,238.72	Facility		$77.62	$213.80	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $338.84 / $776.25	Professional		$147.91	$338.84	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $218.78 / $3,235.94	Facility		$77.62	$218.78	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $588.84 / $2,137.96	Professional		$245.47	$588.84	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $363.08 / $1,071.52	Professional		$147.91	$363.08	$1,071.52
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 $102.33 / $616.60 / $1,995.26	Professional		$102.33	$616.60	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $1,122.02	Professional		$295.12	$295.12	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $741.31 / $1,445.44	Professional		$288.40	$741.31	$1,445.44
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 $87.10 / $251.19 / $660.69	Professional		$87.10	$251.19	$660.69