Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $186.21	Facility		$97.72	$97.72	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $131.83	Professional		$50.12	$67.61	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $295.12	Professional		$57.54	$85.11	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $154.88 / $245.47	Facility		$131.83	$154.88	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $181.97	Professional		$83.18	$147.91	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $102.33	Facility		$51.29	$69.18	$102.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $151.36	Professional		$93.33	$125.89	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $1,202.26 / $2,041.74	Facility		$56.23	$1,202.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $338.84	Professional		$69.18	$112.20	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $177.83	Professional		$93.33	$125.89	$177.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $5,248.07	Facility		$117.49	$117.49	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $288.40 / $616.60	Professional		$75.86	$288.40	$616.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $478.63	Professional		$208.93	$346.74	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $251.19	Professional		$64.57	$107.15	$251.19