Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $575.44 / $2,344.23	Facility		$91.20	$575.44	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $295.12	Professional		$91.20	$151.36	$295.12
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 $144.54 / $223.87 / $512.86	Professional		$144.54	$223.87	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $812.83	Facility		$436.52	$512.86	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $389.05 / $741.31	Professional		$162.18	$389.05	$741.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $3,162.28	Facility		$100.00	$199.53	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $436.52	Professional		$177.83	$288.40	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $213.80 / $3,630.78	Facility		$107.15	$213.80	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $1,230.27	Professional		$177.83	$323.59	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $537.03	Professional		$169.82	$302.00	$537.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $2,630.27	Facility		$758.58	$1,445.44	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $457.09 / $1,148.15	Professional		$186.21	$457.09	$1,148.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $954.99	Professional		$436.52	$588.84	$954.99
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 $114.82 / $213.80 / $588.84	Professional		$114.82	$213.80	$588.84