Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $95.50 / $302.00	Facility		$51.29	$95.50	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $138.04	Professional		$42.66	$72.44	$138.04
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 $74.13 / $134.90 / $331.13	Professional		$74.13	$134.90	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $407.38	Facility		$218.78	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $281.84	Professional		$77.62	$147.91	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $114.82 / $3,801.89	Facility		$51.29	$114.82	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $239.88	Professional		$100.00	$144.54	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $162.18 / $1,778.28	Facility		$54.95	$162.18	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $602.56	Professional		$79.43	$147.91	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $275.42	Professional		$81.28	$144.54	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,288.25 / $1,288.25	Facility		$173.78	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $173.78 / $588.84	Professional		$70.79	$173.78	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $107.15	Professional		$61.66	$61.66	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $123.03 / $524.81	Professional		$54.95	$123.03	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $275.42	Professional		$54.95	$109.65	$275.42