Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $131.83 / $1,905.46	Facility		$51.29	$131.83	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $117.49 / $199.53	Professional		$47.86	$117.49	$199.53
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 $79.43 / $186.21 / $467.74	Professional		$79.43	$186.21	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $645.65	Facility		$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $169.82 / $467.74	Professional		$56.23	$169.82	$467.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $138.04 / $2,818.38	Facility		$51.29	$138.04	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $346.74	Professional		$100.00	$165.96	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $147.91 / $1,513.56	Facility		$51.29	$147.91	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $398.11 / $3,388.44	Professional		$134.90	$398.11	$3,388.44
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 $91.20 / $190.55 / $426.58	Professional		$91.20	$190.55	$426.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $4,365.16 / $4,365.16	Facility		$131.83	$4,365.16	$4,365.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $575.44 / $3,548.13	Professional		$69.18	$575.44	$3,548.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $758.58	Professional		$269.15	$478.63	$758.58
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 $57.54 / $162.18 / $436.52	Professional		$57.54	$162.18	$436.52