Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $3,090.30	Facility		$158.49	$302.00	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $416.87	Professional		$134.90	$181.97	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $7,585.78	Facility		$3,311.31	$4,786.30	$7,585.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $831.76	Professional		$181.97	$363.08	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $707.95	Professional		$218.78	$446.68	$707.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $446.68 / $4,168.69	Facility		$169.82	$446.68	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $562.34	Professional		$309.03	$426.58	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $501.19 / $8,317.64	Facility		$177.83	$501.19	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $1,862.09	Professional		$165.96	$288.40	$1,862.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $645.65	Professional		$218.78	$426.58	$645.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,549.93 / $9,549.93	Facility		$6,456.54	$9,549.93	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $1,862.09	Professional		$213.80	$416.87	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Professional		$363.08	$363.08	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $1,122.02	Professional		$380.19	$794.33	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $630.96	Professional		$138.04	$257.04	$630.96