Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $660.69 / $10,715.19	Facility		$128.82	$660.69	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $537.03	Professional		$117.49	$173.78	$537.03
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 $158.49 / $331.13 / $741.31	Professional		$158.49	$331.13	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $870.96	Facility		$467.74	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $616.60	Professional		$190.55	$363.08	$616.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $323.59 / $3,801.89	Facility		$131.83	$323.59	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $512.86	Professional		$257.04	$346.74	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $354.81 / $4,168.69	Facility		$138.04	$354.81	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $1,318.26	Professional		$173.78	$288.40	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $602.56	Professional		$204.17	$363.08	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,288.25 / $1,288.25	Facility		$346.74	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $1,288.25	Professional		$177.83	$389.05	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $645.65 / $954.99	Professional		$346.74	$645.65	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,677.35	Facility		$2,344.23	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $588.84	Professional		$134.90	$234.42	$588.84