Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $158.49	Facility		$50.12	$95.50	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $131.83	Professional		$42.66	$67.61	$131.83
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 $63.10 / $131.83 / $302.00	Professional		$63.10	$131.83	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $380.19	Facility		$204.17	$239.88	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $138.04 / $269.15	Professional		$74.13	$138.04	$269.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $123.03 / $3,715.35	Facility		$48.98	$123.03	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $208.93	Professional		$97.72	$138.04	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $151.36 / $1,778.28	Facility		$45.71	$151.36	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $575.44	Professional		$70.79	$141.25	$575.44
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 $81.28 / $141.25 / $239.88	Professional		$81.28	$141.25	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,288.25 / $1,288.25	Facility		$154.88	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $165.96 / $549.54	Professional		$69.18	$165.96	$549.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $194.98	Professional		$114.82	$114.82	$194.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $416.87	Professional		$138.04	$251.19	$416.87
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 $54.95 / $97.72 / $245.47	Professional		$54.95	$97.72	$245.47