Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $302.00 / $426.58	Facility		$120.23	$302.00	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $691.83	Professional		$112.20	$177.83	$691.83
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 $141.25 / $275.42 / $645.65	Professional		$141.25	$275.42	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Facility		$389.05	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $363.08 / $537.03	Professional		$173.78	$363.08	$537.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $3,715.35	Facility		$123.03	$239.88	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $436.52	Professional		$245.47	$316.23	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $288.40 / $1,778.28	Facility		$117.49	$288.40	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $275.42 / $1,096.48	Professional		$144.54	$275.42	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $323.59 / $478.63	Professional		$162.18	$323.59	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,288.25 / $1,288.25	Facility		$295.12	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $363.08 / $1,071.52	Professional		$131.83	$363.08	$1,071.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $549.54 / $724.44	Professional		$295.12	$549.54	$724.44
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 / $208.93 / $549.54	Professional		$112.20	$208.93	$549.54