Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,071.52 / $2,754.23	Facility		$114.82	$1,071.52	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $676.08	Professional		$114.82	$186.21	$676.08
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 $169.82 / $239.88 / $562.34	Professional		$169.82	$239.88	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $933.25	Facility		$501.19	$588.84	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $630.96	Professional		$199.53	$371.54	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $302.00 / $3,715.35	Facility		$117.49	$302.00	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $549.54	Professional		$269.15	$371.54	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $363.08 / $4,168.69	Facility		$117.49	$363.08	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $1,380.38	Professional		$190.55	$323.59	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $630.96	Professional		$213.80	$389.05	$630.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,288.25 / $1,288.25	Facility		$478.63	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $398.11 / $1,318.26	Professional		$147.91	$398.11	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $1,047.13	Professional		$371.54	$707.95	$1,047.13
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 / $257.04 / $660.69	Professional		$128.82	$257.04	$660.69