Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $295.12 / $7,943.28	Facility		$100.00	$295.12	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $2,754.23	Professional		$97.72	$104.71	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $218.78	Facility		$181.97	$213.80	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $177.83	Professional		$100.00	$100.00	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.82 / $380.19	Facility		$100.00	$114.82	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $181.97	Professional		$100.00	$125.89	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $331.13	Facility		$100.00	$100.00	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $371.54	Facility		$104.71	$104.71	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $151.36	Professional		$104.71	$114.82	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $104.71	Professional		$64.57	$100.00	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $104.71 / $323.59	Professional		$97.72	$104.71	$323.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,348.96	Facility		$100.00	$100.00	$1,348.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $446.68	Professional		$107.15	$107.15	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $112.20	Facility		$100.00	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $147.91	Professional		$100.00	$109.65	$147.91