Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $138.04 / $524.81	Facility		$57.54	$138.04	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $380.19	Professional		$57.54	$128.82	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $288.40	Professional		$93.33	$138.04	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $457.09 / $724.44	Facility		$389.05	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $489.78	Professional		$107.15	$213.80	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $234.42 / $3,715.35	Facility		$64.57	$234.42	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $426.58	Professional		$138.04	$204.17	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $281.84 / $5,623.41	Facility		$64.57	$281.84	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $1,071.52	Professional		$141.25	$245.47	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $478.63	Professional		$112.20	$208.93	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,890.45 / $3,890.45	Facility		$407.38	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $309.03 / $1,023.29	Professional		$89.13	$309.03	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $831.76	Professional		$186.21	$363.08	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $181.97 / $489.78	Professional		$70.79	$181.97	$489.78