Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $302.00 / $1,905.46	Facility		$134.90	$302.00	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $489.78	Professional		$138.04	$281.84	$489.78
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 $177.83 / $316.23 / $776.25	Professional		$177.83	$316.23	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $977.24 / $1,548.82	Facility		$831.76	$977.24	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $562.34 / $1,318.26	Professional		$199.53	$562.34	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $316.23 / $2,818.38	Facility		$141.25	$316.23	$2,818.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $912.01	Professional		$275.42	$549.54	$912.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $331.13 / $1,445.44	Facility		$147.91	$331.13	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $912.01 / $2,344.23	Professional		$346.74	$912.01	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $524.81 / $1,122.02	Professional		$257.04	$524.81	$1,122.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,288.25	Facility		$1,230.27	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,584.89 / $2,344.23	Professional		$263.03	$1,584.89	$2,344.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,096.48 / $1,819.70	Professional		$602.56	$1,096.48	$1,819.70
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 $186.21 / $436.52 / $1,230.27	Professional		$186.21	$436.52	$1,230.27