Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $63.10 / $114.82	Facility		$26.92	$63.10	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $47.86 / $85.11	Professional		$22.91	$47.86	$85.11
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 $40.74 / $87.10 / $208.93	Professional		$40.74	$87.10	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $181.97 / $288.40	Facility		$154.88	$181.97	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $87.10 / $199.53	Professional		$40.74	$87.10	$199.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $74.13 / $3,715.35	Facility		$25.12	$74.13	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $154.88	Professional		$53.70	$93.33	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $93.33 / $1,778.28	Facility		$22.91	$93.33	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $426.58	Professional		$52.48	$102.33	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $173.78	Professional		$43.65	$83.18	$173.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $1,318.26 / $1,318.26	Facility		$95.50	$1,318.26	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $123.03 / $416.87	Professional		$38.02	$123.03	$416.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $316.23	Professional		$100.00	$134.90	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $66.07 / $186.21	Professional		$30.90	$66.07	$186.21