Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $229.09 / $14,454.40	Facility		$102.33	$229.09	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $281.84	Professional		$100.00	$117.49	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,709.64 / $11,220.18	Facility		$4,786.30	$8,709.64	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $549.54	Professional		$112.20	$213.80	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $331.13 / $537.03	Facility		$288.40	$331.13	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $436.52 / $501.19	Professional		$169.82	$436.52	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $218.78 / $4,168.69	Facility		$109.65	$218.78	$4,168.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $338.84	Professional		$194.98	$263.03	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $229.09 / $1,778.28	Facility		$109.65	$229.09	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $3,019.95	Professional		$123.03	$213.80	$3,019.95
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 $154.88 / $239.88 / $354.81	Professional		$154.88	$239.88	$354.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,238.72 / $2,238.72	Facility		$288.40	$2,238.72	$2,238.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $549.54 / $3,019.95	Professional		$208.93	$549.54	$3,019.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $724.44	Professional		$354.81	$645.65	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Facility		$1,023.29	$1,584.89	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $478.63	Professional		$123.03	$177.83	$478.63