Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $151.36 / $338.84	Facility		$79.43	$151.36	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $245.47	Professional		$72.44	$93.33	$245.47
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 $91.20 / $169.82 / $407.38	Professional		$91.20	$169.82	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $446.68	Facility		$239.88	$281.84	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $234.42 / $331.13	Professional		$107.15	$234.42	$331.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $177.83 / $3,801.89	Facility		$85.11	$177.83	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $269.15	Professional		$158.49	$204.17	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $186.21 / $1,778.28	Facility		$85.11	$186.21	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $173.78 / $676.08	Professional		$91.20	$173.78	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $316.23	Professional		$109.65	$218.78	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,288.25 / $1,288.25	Facility		$190.55	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $234.42 / $660.69	Professional		$79.43	$234.42	$660.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $436.52	Professional		$199.53	$354.81	$436.52
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 $77.62 / $134.90 / $354.81	Professional		$77.62	$134.90	$354.81