Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $199.53 / $1,905.46	Facility		$97.72	$199.53	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $239.88	Professional		$95.50	$123.03	$239.88
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 $120.23 / $234.42 / $562.34	Professional		$120.23	$234.42	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $602.56	Facility		$323.59	$380.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $309.03 / $457.09	Professional		$144.54	$309.03	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $245.47 / $3,801.89	Facility		$112.20	$245.47	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $363.08	Professional		$204.17	$269.15	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $616.60 / $1,778.28	Facility		$112.20	$616.60	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $891.25	Professional		$128.82	$239.88	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $281.84 / $436.52	Professional		$141.25	$281.84	$436.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $602.56 / $602.56	Facility		$245.47	$602.56	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $309.03 / $912.01	Professional		$112.20	$309.03	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $812.83	Professional		$549.54	$645.65	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $489.78	Professional		$112.20	$186.21	$489.78