Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $338.84 / $1,905.46	Facility		$245.47	$338.84	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $467.74	Professional		$158.49	$218.78	$467.74
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 $199.53 / $316.23 / $851.14	Professional		$199.53	$316.23	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $630.96 / $1,023.29	Facility		$549.54	$630.96	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $446.68 / $977.24	Professional		$190.55	$446.68	$977.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $3,548.13	Facility		$186.21	$309.03	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $562.34	Professional		$354.81	$446.68	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $309.03 / $1,778.28	Facility		$190.55	$309.03	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $501.19 / $2,344.23	Professional		$204.17	$501.19	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $446.68 / $707.95	Professional		$229.09	$446.68	$707.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,467.37 / $3,467.37	Facility		$457.09	$3,467.37	$3,467.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $741.31 / $2,398.83	Professional		$208.93	$741.31	$2,398.83
Security Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,584.89 / $1,995.26	Professional		$741.31	$1,584.89	$1,995.26
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 $165.96 / $302.00 / $812.83	Professional		$165.96	$302.00	$812.83