Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $302.00 / $3,090.30	Facility		$97.72	$302.00	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $489.78	Professional		$89.13	$151.36	$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 $112.20 / $239.88 / $562.34	Professional		$112.20	$239.88	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $616.60	Facility		$331.13	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $436.52	Professional		$147.91	$269.15	$436.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $223.87 / $3,715.35	Facility		$97.72	$223.87	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $354.81	Professional		$190.55	$263.03	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $245.47 / $1,778.28	Facility		$97.72	$245.47	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $933.25	Professional		$123.03	$208.93	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $416.87	Professional		$138.04	$275.42	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,905.46 / $1,905.46	Facility		$257.04	$1,905.46	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $346.74 / $912.01	Professional		$128.82	$346.74	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $691.83	Professional		$281.84	$489.78	$691.83
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 $95.50 / $169.82 / $426.58	Professional		$95.50	$169.82	$426.58