Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $234.42 / $14,454.40	Facility		$104.71	$234.42	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $234.42	Professional		$104.71	$125.89	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,413.10	Facility		$3,162.28	$4,786.30	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $602.56	Professional		$114.82	$218.78	$602.56
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 $186.21 / $446.68 / $512.86	Professional		$186.21	$446.68	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $6,918.31 / $13,489.63	Facility		$123.03	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $346.74	Professional		$204.17	$281.84	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $2,818.38 / $7,943.28	Facility		$123.03	$2,818.38	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $891.25	Professional		$128.82	$213.80	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $489.78	Professional		$147.91	$288.40	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,288.25 / $1,288.25	Facility		$295.12	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $562.34 / $891.25	Professional		$208.93	$562.34	$891.25
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 $389.05 / $660.69 / $794.33	Professional		$389.05	$660.69	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $501.19	Professional		$114.82	$181.97	$501.19