Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $17,782.79	Facility		$25.70	$25.70	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $25.70 / $61.66	Professional		$22.91	$25.70	$61.66
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 $27.54 / $40.74 / $87.10	Professional		$27.54	$40.74	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $120.23	Facility		$64.57	$74.13	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $83.18	Professional		$33.11	$63.10	$83.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $31.62 / $57.54	Facility		$25.12	$31.62	$57.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $69.18	Professional		$44.67	$56.23	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $1,202.26 / $1,778.28	Facility		$27.54	$1,202.26	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $407.38	Professional		$26.92	$46.77	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $87.10	Professional		$34.67	$63.10	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $501.19 / $501.19	Facility		$57.54	$501.19	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $128.82 / $407.38	Professional		$26.30	$128.82	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $87.10	Professional		$40.74	$66.07	$87.10
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 $25.12 / $40.74 / $93.33	Professional		$25.12	$40.74	$93.33