Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $134.90 / $1,905.46	Facility		$77.62	$134.90	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $302.00	Professional		$69.18	$162.18	$302.00
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 $89.13 / $208.93 / $524.81	Professional		$89.13	$208.93	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $870.96	Facility		$467.74	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $186.21 / $501.19	Professional		$72.44	$186.21	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $186.21 / $3,388.44	Facility		$72.44	$186.21	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $416.87	Professional		$107.15	$173.78	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $162.18 / $407.38	Facility		$64.57	$162.18	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $831.76	Professional		$162.18	$257.04	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $478.63	Professional		$91.20	$213.80	$478.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $645.65 / $645.65	Facility		$134.90	$645.65	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $177.83 / $1,230.27	Professional		$70.79	$177.83	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $602.56	Professional		$141.25	$251.19	$602.56
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 $74.13 / $194.98 / $501.19	Professional		$74.13	$194.98	$501.19