Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $371.54 / $3,548.13	Facility		$77.62	$371.54	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $457.09	Professional		$81.28	$173.78	$457.09
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 $125.89 / $194.98 / $478.63	Professional		$125.89	$194.98	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $338.84 / $812.83	Professional		$138.04	$338.84	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $190.55 / $3,162.28	Facility		$85.11	$190.55	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $501.19	Professional		$158.49	$275.42	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $199.53 / $3,311.31	Facility		$87.10	$199.53	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $1,412.54	Professional		$194.98	$380.19	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $707.95	Professional		$165.96	$338.84	$707.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $2,089.30	Facility		$758.58	$1,445.44	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $870.96 / $1,412.54	Professional		$181.97	$870.96	$1,412.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $1,047.13	Professional		$295.12	$537.03	$1,047.13
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 $95.50 / $229.09 / $645.65	Professional		$95.50	$229.09	$645.65