Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $380.19 / $1,905.46	Facility		$77.62	$380.19	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $177.83 / $398.11	Professional		$77.62	$177.83	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $446.68	Professional		$107.15	$190.55	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $933.25	Facility		$501.19	$588.84	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $323.59 / $758.58	Professional		$104.71	$323.59	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $199.53 / $2,818.38	Facility		$83.18	$199.53	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $549.54	Professional		$162.18	$288.40	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $213.80 / $1,445.44	Facility		$89.13	$213.80	$1,445.44
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $74.13 / $74.13 / $74.13	Facility	53	$74.13	$74.13	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $575.44 / $1,548.82	Professional		$223.87	$575.44	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $588.84	Professional		$141.25	$269.15	$588.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,951.21 / $2,951.21	Facility		$933.25	$2,951.21	$2,951.21
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $42.66 / $147.91 / $147.91	Facility	53	$42.66	$147.91	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $912.01 / $1,621.81	Professional		$147.91	$912.01	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $1,096.48	Professional		$316.23	$588.84	$1,096.48
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 $100.00 / $263.03 / $724.44	Professional		$100.00	$263.03	$724.44