Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $1,905.46	Facility		$151.36	$288.40	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $489.78	Professional		$131.83	$234.42	$489.78
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 $173.78 / $354.81 / $1,000.00	Professional		$173.78	$354.81	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $1,202.26	Facility		$645.65	$758.58	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $398.11 / $1,023.29	Professional		$165.96	$398.11	$1,023.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $223.87 / $2,238.72	Facility		$123.03	$223.87	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $676.08	Professional		$257.04	$426.58	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $229.09 / $1,202.26	Facility		$114.82	$229.09	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $549.54 / $1,778.28	Professional		$223.87	$549.54	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $891.25	Professional		$239.88	$457.09	$891.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,288.25 / $1,288.25	Facility		$630.96	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $562.34 / $1,737.80	Professional		$169.82	$562.34	$1,737.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,230.27	Professional		$436.52	$741.31	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $676.08	Professional		$141.25	$257.04	$676.08