Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $275.42 / $1,905.46	Facility		$141.25	$275.42	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $346.74	Professional		$93.33	$169.82	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $467.74	Professional		$138.04	$213.80	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $562.34 / $912.01	Facility		$489.78	$562.34	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $660.69	Professional		$154.88	$338.84	$660.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $251.19 / $3,548.13	Facility		$104.71	$251.19	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $489.78	Professional		$204.17	$309.03	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $263.03 / $4,168.69	Facility		$104.71	$263.03	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $2,041.74	Professional		$181.97	$436.52	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $588.84	Professional		$151.36	$281.84	$588.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,890.45 / $3,890.45	Facility		$467.74	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $446.68 / $2,089.30	Professional		$154.88	$446.68	$2,089.30
Security Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $933.25 / $1,737.80	Professional		$436.52	$933.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $5,011.87	Facility		$2,344.23	$2,884.03	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $229.09 / $707.95	Professional		$107.15	$229.09	$707.95