Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $144.54 / $1,905.46	Facility		$67.61	$144.54	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $154.88 / $602.56	Professional		$61.66	$154.88	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $5,754.40	Facility		$2,398.83	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $478.63	Professional		$79.43	$190.55	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $794.33	Facility		$426.58	$501.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $169.82 / $457.09	Professional		$67.61	$169.82	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $169.82 / $3,388.44	Facility		$63.10	$169.82	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $380.19	Professional		$95.50	$154.88	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $141.25 / $380.19	Facility		$57.54	$141.25	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $831.76	Professional		$154.88	$257.04	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $446.68	Professional		$79.43	$190.55	$446.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $630.96 / $630.96	Facility		$117.49	$630.96	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $165.96 / $1,000.00	Professional		$61.66	$165.96	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $549.54	Professional		$125.89	$223.87	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $707.95	Facility		$537.03	$537.03	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $181.97 / $467.74	Professional		$69.18	$181.97	$467.74