Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $3,090.30	Facility		$83.18	$158.49	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $204.17	Professional		$72.44	$107.15	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $489.78	Professional		$97.72	$218.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $380.19 / $616.60	Facility		$331.13	$380.19	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $426.58	Professional		$128.82	$234.42	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $162.18 / $4,168.69	Facility		$81.28	$162.18	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $338.84	Professional		$165.96	$223.87	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $190.55 / $8,317.64	Facility		$77.62	$190.55	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $933.25	Professional		$107.15	$186.21	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $398.11	Professional		$131.83	$234.42	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,589.25 / $12,589.25	Facility		$8,511.38	$12,589.25	$12,589.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $251.19 / $912.01	Professional		$114.82	$251.19	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $316.23	Professional		$190.55	$190.55	$316.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $416.87 / $676.08	Professional		$169.82	$416.87	$676.08
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 $85.11 / $154.88 / $389.05	Professional		$85.11	$154.88	$389.05