Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $389.05 / $3,090.30	Facility		$190.55	$389.05	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $467.74	Professional		$181.97	$229.09	$467.74
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 $234.42 / $436.52 / $1,071.52	Professional		$234.42	$436.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $707.95 / $1,122.02	Facility		$602.56	$707.95	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $602.56 / $831.76	Professional		$275.42	$602.56	$831.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $380.19 / $4,168.69	Facility		$190.55	$380.19	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $676.08	Professional		$398.11	$512.86	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $446.68 / $8,317.64	Facility		$190.55	$446.68	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $2,187.76	Professional		$234.42	$436.52	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $794.33	Professional		$275.42	$537.03	$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 $208.93 / $602.56 / $2,238.72	Professional		$208.93	$602.56	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,548.82	Professional		$851.14	$1,148.15	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $338.84 / $912.01	Professional		$208.93	$338.84	$912.01