Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $323.59 / $1,905.46	Facility		$100.00	$323.59	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $457.09	Professional		$104.71	$158.49	$457.09
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 $138.04 / $208.93 / $537.03	Professional		$138.04	$208.93	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $478.63 / $776.25	Facility		$416.87	$478.63	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $416.87 / $707.95	Professional		$177.83	$416.87	$707.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $208.93 / $3,162.28	Facility		$117.49	$208.93	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $436.52	Professional		$204.17	$295.12	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $213.80 / $3,630.78	Facility		$120.23	$213.80	$3,630.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $1,174.90	Professional		$158.49	$281.84	$1,174.90
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 $204.17 / $338.84 / $562.34	Professional		$204.17	$338.84	$562.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $707.95	Facility		$173.78	$323.59	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $512.86 / $1,148.15	Professional		$204.17	$512.86	$1,148.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $912.01	Professional		$436.52	$645.65	$912.01
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 $128.82 / $208.93 / $537.03	Professional		$128.82	$208.93	$537.03