Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $158.49 / $14,454.40	Facility		$85.11	$158.49	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $158.49	Professional		$74.13	$87.10	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $380.19	Professional		$77.62	$144.54	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $363.08	Facility		$194.98	$229.09	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $323.59	Professional		$89.13	$177.83	$323.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $3,162.28	Facility		$77.62	$107.15	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $263.03	Professional		$134.90	$165.96	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $5,754.40	Facility		$77.62	$107.15	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $588.84	Professional		$85.11	$134.90	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $269.15	Professional		$95.50	$173.78	$269.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $501.19	Facility		$199.53	$199.53	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $295.12 / $575.44	Professional		$83.18	$295.12	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $389.05	Professional		$239.88	$309.03	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $302.00	Professional		$77.62	$114.82	$302.00