Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $371.54 / $1,905.46	Facility		$162.18	$371.54	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $588.84	Professional		$162.18	$213.80	$588.84
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 $204.17 / $338.84 / $912.01	Professional		$204.17	$338.84	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $616.60 / $954.99	Professional		$257.04	$616.60	$954.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $269.15 / $3,162.28	Facility		$162.18	$269.15	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $588.84	Professional		$331.13	$446.68	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $288.40 / $3,311.31	Facility		$162.18	$288.40	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $446.68 / $1,584.89	Professional		$239.88	$446.68	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $758.58	Professional		$302.00	$524.81	$758.58
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 $338.84 / $1,122.02 / $1,659.59	Professional		$338.84	$1,122.02	$1,659.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,023.29 / $1,230.27	Professional		$234.42	$1,023.29	$1,230.27
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 $186.21 / $316.23 / $794.33	Professional		$186.21	$316.23	$794.33