Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $602.56 / $1,905.46	Facility		$199.53	$602.56	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $812.83	Professional		$169.82	$257.04	$812.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $512.86 / $1,230.27	Professional		$186.21	$512.86	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,691.53	Facility		$1,445.44	$1,659.59	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $660.69 / $2,238.72	Professional		$199.53	$660.69	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $363.08 / $3,311.31	Facility		$177.83	$363.08	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $1,380.38	Professional		$323.59	$616.60	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $407.38 / $4,365.16	Facility		$181.97	$407.38	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $389.05 / $3,890.45	Professional		$190.55	$389.05	$3,890.45
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 $316.23 / $691.83 / $1,862.09	Professional		$316.23	$691.83	$1,862.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $4,897.79	Facility		$3,311.31	$3,311.31	$4,897.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,023.29 / $3,715.35	Professional		$190.55	$1,023.29	$3,715.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $2,691.53	Professional		$575.44	$812.83	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $758.58	Professional		$177.83	$269.15	$758.58