Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $85.11 / $1,905.46	Facility		$40.74	$85.11	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $131.83	Professional		$40.74	$72.44	$131.83
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 $66.07 / $123.03 / $309.03	Professional		$66.07	$123.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $380.19	Facility		$204.17	$239.88	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $281.84	Professional		$67.61	$138.04	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $109.65 / $3,715.35	Facility		$41.69	$109.65	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $223.87	Professional		$89.13	$131.83	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $151.36 / $1,778.28	Facility		$38.90	$151.36	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $1,380.38	Professional		$72.44	$138.04	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $269.15	Professional		$72.44	$131.83	$269.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,995.26 / $1,995.26	Facility		$186.21	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $162.18 / $1,380.38	Professional		$56.23	$162.18	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $457.09	Professional		$190.55	$316.23	$457.09
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 $47.86 / $100.00 / $263.03	Professional		$47.86	$100.00	$263.03