Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $251.19 / $1,905.46	Facility		$97.72	$251.19	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $380.19	Professional		$97.72	$229.09	$380.19
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 $154.88 / $239.88 / $537.03	Professional		$154.88	$239.88	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $1,380.38	Facility		$741.31	$870.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $446.68 / $1,258.93	Professional		$173.78	$446.68	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $288.40 / $3,162.28	Facility		$104.71	$288.40	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $724.44	Professional		$194.98	$331.13	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $295.12 / $3,630.78	Facility		$107.15	$295.12	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $2,041.74	Professional		$251.19	$436.52	$2,041.74
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 $181.97 / $416.87 / $912.01	Professional		$181.97	$416.87	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $2,691.53	Facility		$977.24	$1,819.70	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $660.69 / $1,905.46	Professional		$204.17	$660.69	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $831.76 / $1,621.81	Professional		$436.52	$831.76	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,677.35	Facility		$2,344.23	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $288.40 / $794.33	Professional		$117.49	$288.40	$794.33