Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $288.40 / $616.60	Facility		$72.44	$288.40	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $467.74	Professional		$66.07	$117.49	$467.74
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 $85.11 / $131.83 / $338.84	Professional		$85.11	$131.83	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $446.68	Facility		$239.88	$281.84	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $416.87	Professional		$107.15	$245.47	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $123.03 / $3,162.28	Facility		$72.44	$123.03	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $251.19	Professional		$123.03	$177.83	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $125.89 / $1,659.59	Facility		$74.13	$125.89	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $691.83	Professional		$97.72	$173.78	$691.83
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 $117.49 / $194.98 / $331.13	Professional		$117.49	$194.98	$331.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $436.52	Facility		$173.78	$173.78	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $316.23 / $676.08	Professional		$123.03	$316.23	$676.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $537.03	Professional		$275.42	$389.05	$537.03
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 $81.28 / $128.82 / $331.13	Professional		$81.28	$128.82	$331.13