Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $512.86 / $14,454.40	Facility		$302.00	$512.86	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $691.83	Professional		$251.19	$316.23	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $977.24	Professional		$269.15	$446.68	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $891.25 / $1,412.54	Facility		$758.58	$891.25	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $616.60 / $812.83	Professional		$275.42	$616.60	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $758.58	Facility		$257.04	$338.84	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $758.58	Professional		$489.78	$562.34	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $724.44 / $1,778.28	Facility		$263.03	$724.44	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $1,000.00	Professional		$239.88	$398.11	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $891.25	Professional		$426.58	$630.96	$891.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,862.09	Facility		$630.96	$630.96	$1,862.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $489.78 / $1,862.09	Professional		$251.19	$489.78	$1,862.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $977.24	Professional		$398.11	$645.65	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $912.01	Professional		$239.88	$380.19	$912.01