Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $912.01 / $2,630.27	Facility		$169.82	$912.01	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $691.83 / $1,698.24	Professional		$131.83	$691.83	$1,698.24
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 $181.97 / $870.96 / $3,090.30	Professional		$181.97	$870.96	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,890.45	Facility		$2,089.30	$2,398.83	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $575.44 / $2,884.03	Professional		$169.82	$575.44	$2,884.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $741.31 / $2,630.27	Facility		$134.90	$741.31	$2,630.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $549.54 / $2,041.74	Professional		$245.47	$549.54	$2,041.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $758.58 / $3,548.13	Facility		$134.90	$758.58	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,862.09 / $5,623.41	Professional		$891.25	$1,862.09	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $776.25 / $2,398.83	Professional		$208.93	$776.25	$2,398.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,884.03	Facility		$1,949.84	$1,949.84	$2,884.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,318.26 / $5,495.41	Professional		$162.18	$1,318.26	$5,495.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $2,691.53 / $3,890.45	Professional		$501.19	$2,691.53	$3,890.45
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 $151.36 / $691.83 / $2,238.72	Professional		$151.36	$691.83	$2,238.72