Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $4,365.16 / $13,182.57	Facility		$281.84	$4,365.16	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $1,047.13	Professional		$281.84	$281.84	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $630.96	Facility		$512.86	$602.56	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $398.11	Professional		$281.84	$346.74	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $602.56 / $1,047.13	Facility		$389.05	$602.56	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $724.44	Professional		$288.40	$389.05	$724.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $281.84 / $549.54	Facility		$165.96	$281.84	$549.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $269.15 / $562.34	Facility		$165.96	$269.15	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $812.83	Professional		$269.15	$316.23	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $281.84	Professional		$64.57	$85.11	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $302.00 / $812.83	Professional		$281.84	$302.00	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,122.02 / $2,089.30	Facility		$389.05	$1,122.02	$2,089.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $457.09	Professional		$371.54	$371.54	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $288.40 / $288.40	Facility		$281.84	$288.40	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $831.76	Professional		$281.84	$316.23	$831.76