Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $549.54	Facility		$144.54	$251.19	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $562.34	Professional		$112.20	$151.36	$562.34
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 $144.54 / $234.42 / $512.86	Professional		$144.54	$234.42	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Facility		$389.05	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $512.86	Professional		$190.55	$371.54	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $295.12 / $3,801.89	Facility		$144.54	$295.12	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $446.68	Professional		$263.03	$331.13	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $316.23 / $4,168.69	Facility		$138.04	$316.23	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $3,019.95	Professional		$162.18	$281.84	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $524.81	Professional		$186.21	$371.54	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,288.25 / $1,288.25	Facility		$524.81	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $398.11 / $3,090.30	Professional		$173.78	$398.11	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $275.42	Professional		$229.09	$229.09	$275.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $467.74	Professional		$281.84	$380.19	$467.74
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 $138.04 / $223.87 / $537.03	Professional		$138.04	$223.87	$537.03