Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $407.38 / $407.38	Facility		$181.97	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $2,818.38	Professional		$190.55	$275.42	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $1,047.13	Professional		$199.53	$380.19	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $588.84 / $954.99	Facility		$512.86	$588.84	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $776.25 / $891.25	Professional		$331.13	$776.25	$891.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $4,265.80 / $7,762.47	Facility		$199.53	$4,265.80	$7,762.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $602.56	Professional		$354.81	$489.78	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $3,235.94 / $6,309.57	Facility		$199.53	$3,235.94	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $1,174.90	Professional		$223.87	$363.08	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $501.19 / $851.14	Professional		$257.04	$501.19	$851.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,318.26	Facility		$512.86	$512.86	$1,318.26
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $51.29 / $51.29 / $131.83	Facility	AS	$51.29	$51.29	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,096.48 / $1,862.09	Professional		$363.08	$1,096.48	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,380.38	Professional		$676.08	$1,148.15	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $891.25	Professional		$199.53	$331.13	$891.25