Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $154.88 / $1,905.46	Facility		$72.44	$154.88	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $257.04	Professional		$72.44	$104.71	$257.04
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 $104.71 / $151.36 / $346.74	Professional		$104.71	$151.36	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $338.84 / $537.03	Facility		$288.40	$338.84	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $229.09 / $380.19	Professional		$123.03	$229.09	$380.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $3,715.35	Facility		$83.18	$158.49	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $323.59	Professional		$162.18	$223.87	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $218.78 / $4,168.69	Facility		$83.18	$218.78	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $933.25	Professional		$114.82	$218.78	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $371.54	Professional		$120.23	$213.80	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,890.45 / $3,890.45	Facility		$354.81	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $269.15 / $977.24	Professional		$87.10	$269.15	$977.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $724.44	Professional		$281.84	$489.78	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Facility		$2,238.72	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $398.11	Professional		$89.13	$154.88	$398.11