Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,698.24 / $1,905.46	Facility		$181.97	$1,698.24	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $630.96	Professional		$165.96	$239.88	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $436.52 / $1,000.00	Professional		$218.78	$436.52	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,148.15	Facility		$616.60	$724.44	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $537.03 / $851.14	Professional		$251.19	$537.03	$851.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $380.19 / $3,715.35	Facility		$154.88	$380.19	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $676.08	Professional		$363.08	$501.19	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $457.09 / $5,623.41	Facility		$154.88	$457.09	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $2,691.53	Professional		$234.42	$436.52	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $524.81 / $812.83	Professional		$275.42	$524.81	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,981.07 / $3,981.07	Facility		$2,754.23	$3,981.07	$3,981.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $537.03 / $2,754.23	Professional		$213.80	$537.03	$2,754.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $1,122.02	Professional		$478.63	$812.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $851.14	Professional		$181.97	$323.59	$851.14