Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $213.80 / $1,905.46	Facility		$44.67	$213.80	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $100.00 / $213.80	Professional		$44.67	$100.00	$213.80
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 $70.79 / $112.20 / $223.87	Professional		$70.79	$112.20	$223.87
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 $87.10 / $162.18 / $371.54	Professional		$87.10	$162.18	$371.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $218.78 / $3,801.89	Facility		$52.48	$218.78	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $309.03	Professional		$102.33	$162.18	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $1,819.70 / $4,168.69	Facility		$52.48	$1,819.70	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $524.81	Professional		$112.20	$208.93	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $354.81	Professional		$81.28	$154.88	$354.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $389.05	Facility		$251.19	$251.19	$389.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $213.80 / $741.31	Professional		$81.28	$213.80	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $707.95	Professional		$239.88	$467.74	$707.95
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 $56.23 / $141.25 / $398.11	Professional		$56.23	$141.25	$398.11