Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $338.84 / $831.76	Facility		$138.04	$338.84	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $436.52	Professional		$117.49	$173.78	$436.52
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 / $281.84 / $660.69	Professional		$141.25	$281.84	$660.69
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 $190.55 / $389.05 / $512.86	Professional		$190.55	$389.05	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $275.42 / $4,265.80	Facility		$134.90	$275.42	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $398.11	Professional		$251.19	$346.74	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $295.12 / $1,778.28	Facility		$131.83	$295.12	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $1,096.48	Professional		$125.89	$239.88	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $478.63	Professional		$181.97	$338.84	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,951.21 / $2,951.21	Facility		$407.38	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $346.74 / $1,047.13	Professional		$151.36	$346.74	$1,047.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $691.83 / $794.33	Professional		$288.40	$691.83	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $501.19	Professional		$112.20	$194.98	$501.19