Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $831.76 / $1,071.52	Facility		$251.19	$831.76	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $489.78	Professional		$128.82	$213.80	$489.78
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 $204.17 / $371.54 / $954.99	Professional		$204.17	$371.54	$954.99
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 $234.42 / $457.09 / $794.33	Professional		$234.42	$457.09	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $3,715.35	Facility		$158.49	$302.00	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $645.65	Professional		$302.00	$457.09	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $316.23 / $1,778.28	Facility		$154.88	$316.23	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $416.87 / $1,737.80	Professional		$204.17	$416.87	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $741.31	Professional		$245.47	$436.52	$741.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $933.25	Facility		$630.96	$630.96	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $457.09 / $1,698.24	Professional		$181.97	$457.09	$1,698.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $831.76 / $1,258.93	Professional		$426.58	$831.76	$1,258.93
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 $147.91 / $288.40 / $707.95	Professional		$147.91	$288.40	$707.95