Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $436.52 / $14,454.40	Facility		$223.87	$436.52	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $549.54	Professional		$204.17	$239.88	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $933.25	Professional		$204.17	$398.11	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $630.96 / $1,023.29	Facility		$549.54	$630.96	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $676.08 / $758.58	Professional		$309.03	$676.08	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,398.83 / $4,786.30	Facility		$223.87	$2,398.83	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $645.65	Professional		$371.54	$524.81	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $5,495.41 / $8,709.64	Facility		$223.87	$5,495.41	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $1,778.28	Professional		$208.93	$389.05	$1,778.28
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 $251.19 / $489.78 / $676.08	Professional		$251.19	$489.78	$676.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,332.54 / $9,332.54	Facility		$6,309.57	$9,332.54	$9,332.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,023.29 / $1,778.28	Professional		$288.40	$1,023.29	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,023.29	Professional		$588.84	$1,023.29	$1,023.29
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 $204.17 / $338.84 / $912.01	Professional		$204.17	$338.84	$912.01