Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $389.05 / $3,090.30	Facility		$173.78	$389.05	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $602.56	Professional		$173.78	$245.47	$602.56
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 $229.09 / $363.08 / $977.24	Professional		$229.09	$363.08	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $1,258.93	Facility		$676.08	$794.33	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $660.69 / $1,148.15	Professional		$281.84	$660.69	$1,148.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $3,548.13	Facility		$186.21	$302.00	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $707.95	Professional		$346.74	$501.19	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $323.59 / $3,311.31	Facility		$186.21	$323.59	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $467.74 / $1,905.46	Professional		$239.88	$467.74	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $602.56 / $912.01	Professional		$354.81	$602.56	$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 $363.08 / $1,174.90 / $1,862.09	Professional		$363.08	$1,174.90	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,096.48 / $1,479.11	Professional		$691.83	$1,096.48	$1,479.11
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 $204.17 / $331.13 / $870.96	Professional		$204.17	$331.13	$870.96