Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $120.23 / $1,905.46	Facility		$0.85	$120.23	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $281.84	Professional		$52.48	$114.82	$281.84
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 $97.72 / $199.53 / $467.74	Professional		$97.72	$199.53	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $407.38 / $645.65	Facility		$346.74	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $204.17 / $436.52	Professional		$100.00	$204.17	$436.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $208.93 / $3,715.35	Facility		$61.66	$208.93	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $380.19	Professional		$131.83	$199.53	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $251.19 / $11,481.54	Facility		$61.66	$251.19	$11,481.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $204.17 / $1,258.93	Professional		$131.83	$204.17	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $426.58	Professional		$107.15	$204.17	$426.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $2,951.21	Facility		$1,698.24	$2,951.21	$2,951.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $275.42 / $1,258.93	Professional		$83.18	$275.42	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $724.44	Professional		$177.83	$346.74	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $12,589.25	Facility		$6,606.93	$10,232.93	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $165.96 / $436.52	Professional		$69.18	$165.96	$436.52