Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $316.23 / $14,454.40	Facility		$141.25	$316.23	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $457.09	Professional		$128.82	$165.96	$457.09
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 $144.54 / $295.12 / $691.83	Professional		$144.54	$295.12	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $467.74 / $758.58	Facility		$407.38	$467.74	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $446.68 / $512.86	Professional		$213.80	$446.68	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,981.07 / $7,413.10	Facility		$165.96	$3,981.07	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $467.74	Professional		$275.42	$380.19	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,235.94 / $6,309.57	Facility		$165.96	$3,235.94	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $1,122.02	Professional		$147.91	$263.03	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $489.78	Professional		$177.83	$346.74	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $7,943.28	Facility		$5,370.32	$7,943.28	$7,943.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $707.95 / $1,096.48	Professional		$208.93	$707.95	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $691.83 / $870.96	Professional		$380.19	$691.83	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,606.93	Facility		$2,884.03	$3,801.89	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $630.96	Professional		$138.04	$229.09	$630.96