Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $426.58 / $14,454.40	Facility		$208.93	$426.58	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $831.76	Professional		$194.98	$263.03	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $1,000.00	Professional		$204.17	$398.11	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $616.60 / $1,000.00	Facility		$537.03	$616.60	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $660.69 / $741.31	Professional		$302.00	$660.69	$741.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,884.03 / $5,370.32	Facility		$218.78	$2,884.03	$5,370.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $630.96	Professional		$371.54	$512.86	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,235.94 / $6,165.95	Facility		$218.78	$3,235.94	$6,165.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $1,949.84	Professional		$208.93	$371.54	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $794.33	Professional		$239.88	$467.74	$794.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $5,495.41	Facility		$3,715.35	$5,495.41	$5,495.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,023.29 / $1,949.84	Professional		$281.84	$1,023.29	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $1,230.27 / $1,513.56	Professional		$295.12	$1,230.27	$1,513.56
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 $204.17 / $338.84 / $891.25	Professional		$204.17	$338.84	$891.25