Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.84 / $676.08	Facility		$100.00	$281.84	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $416.87	Professional		$56.23	$95.50	$416.87
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 $83.18 / $158.49 / $371.54	Professional		$83.18	$158.49	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $446.68	Facility		$239.88	$281.84	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $316.23	Professional		$91.20	$169.82	$316.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $169.82 / $3,801.89	Facility		$61.66	$169.82	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $269.15	Professional		$117.49	$162.18	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $186.21 / $1,778.28	Facility		$64.57	$186.21	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $165.96 / $676.08	Professional		$93.33	$165.96	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $309.03	Professional		$97.72	$173.78	$309.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,288.25 / $1,288.25	Facility		$181.97	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $199.53 / $660.69	Professional		$83.18	$199.53	$660.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $117.49	Professional		$74.13	$74.13	$117.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $199.53 / $588.84	Professional		$66.07	$199.53	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,584.89 / $1,949.84	Facility		$954.99	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $309.03	Professional		$66.07	$123.03	$309.03