Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $331.13 / $1,905.46	Facility		$151.36	$331.13	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $436.52	Professional		$100.00	$154.88	$436.52
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 $125.89 / $199.53 / $524.81	Professional		$125.89	$199.53	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $645.65	Facility		$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $288.40 / $588.84	Professional		$120.23	$288.40	$588.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $194.98 / $3,548.13	Facility		$112.20	$194.98	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $363.08	Professional		$218.78	$281.84	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $1,778.28	Facility		$112.20	$199.53	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $288.40 / $954.99	Professional		$131.83	$288.40	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $281.84 / $446.68	Professional		$144.54	$281.84	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,951.21 / $2,951.21	Facility		$288.40	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $467.74 / $933.25	Professional		$109.65	$467.74	$933.25
Security Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,000.00 / $1,258.93	Professional		$467.74	$1,000.00	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $512.86	Professional		$104.71	$190.55	$512.86