Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $912.01 / $2,344.23	Facility		$208.93	$912.01	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $123.03 / $426.58	Professional		$37.15	$123.03	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $186.21 / $691.83	Professional		$53.70	$186.21	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $562.34 / $912.01	Facility		$489.78	$562.34	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $154.88 / $758.58	Professional		$48.98	$154.88	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $162.18 / $2,818.38	Facility		$39.81	$162.18	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $489.78	Professional		$70.79	$125.89	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $181.97 / $1,445.44	Facility		$40.74	$181.97	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $478.63 / $1,318.26	Professional		$162.18	$478.63	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $190.55 / $562.34	Professional		$63.10	$190.55	$562.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,288.25 / $1,288.25	Facility		$93.33	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $812.83 / $1,258.93	Professional		$63.10	$812.83	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $912.01	Professional		$138.04	$269.15	$912.01
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 $45.71 / $165.96 / $575.44	Professional		$45.71	$165.96	$575.44