Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $234.42 / $14,454.40	Facility		$107.15	$234.42	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $234.42	Professional		$104.71	$117.49	$234.42
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 $117.49 / $223.87 / $602.56	Professional		$117.49	$223.87	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $549.54	Facility		$295.12	$346.74	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $446.68 / $512.86	Professional		$186.21	$446.68	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,454.71 / $4,786.30	Facility		$125.89	$2,454.71	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $354.81	Professional		$204.17	$281.84	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,122.02 / $1,778.28	Facility		$125.89	$1,122.02	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $1,122.02	Professional		$128.82	$234.42	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $426.58	Professional		$125.89	$251.19	$426.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,995.26 / $1,995.26	Facility		$933.25	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $588.84 / $1,122.02	Professional		$208.93	$588.84	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $812.83	Professional		$426.58	$660.69	$812.83
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 $117.49 / $194.98 / $524.81	Professional		$117.49	$194.98	$524.81