Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $812.83	Facility		$25.12	$33.88	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $645.65 / $870.96	Professional		$28.18	$645.65	$870.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $660.69 / $1,348.96	Professional		$33.11	$660.69	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $4,365.16	Facility		$2,089.30	$2,754.23	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $758.58 / $1,412.54	Professional		$46.77	$758.58	$1,412.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $741.31 / $1,202.26	Facility		$33.88	$741.31	$1,202.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $891.25 / $2,187.76	Professional		$52.48	$891.25	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $741.31 / $1,230.27	Facility		$33.88	$741.31	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,000.00 / $5,011.87	Professional		$223.87	$1,000.00	$5,011.87
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 $40.74 / $954.99 / $2,511.89	Professional		$40.74	$954.99	$2,511.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,630.27	Facility		$1,621.81	$1,621.81	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $5,011.87	Professional		$758.58	$758.58	$5,011.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $93.33 / $2,344.23	Professional		$28.84	$93.33	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $616.60 / $1,445.44	Professional		$26.30	$616.60	$1,445.44