Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $229.09 / $1,905.46	Facility		$120.23	$229.09	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $371.54	Professional		$102.33	$154.88	$371.54
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 $147.91 / $309.03 / $691.83	Professional		$147.91	$309.03	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $512.86 / $831.76	Facility		$446.68	$512.86	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $575.44	Professional		$177.83	$338.84	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $302.00 / $3,801.89	Facility		$120.23	$302.00	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $478.63	Professional		$234.42	$323.59	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $338.84 / $1,778.28	Facility		$128.82	$338.84	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $1,258.93	Professional		$165.96	$275.42	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $562.34	Professional		$190.55	$331.13	$562.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,288.25 / $1,288.25	Facility		$331.13	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $363.08 / $1,202.26	Professional		$165.96	$363.08	$1,202.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $602.56 / $912.01	Professional		$245.47	$602.56	$912.01
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 $125.89 / $223.87 / $549.54	Professional		$125.89	$223.87	$549.54