Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $17,782.79	Facility		$102.33	$102.33	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $467.74	Professional		$107.15	$169.82	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $575.44	Professional		$162.18	$234.42	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $758.58	Facility		$407.38	$478.63	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $281.84	Professional		$169.82	$251.19	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $323.59 / $10,471.29	Facility		$144.54	$323.59	$10,471.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $323.59 / $1,778.28	Facility		$151.36	$323.59	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $1,230.27	Professional		$173.78	$371.54	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $537.03	Professional		$213.80	$380.19	$537.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,071.52	Facility		$426.58	$426.58	$1,071.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,202.26	Professional		$660.69	$758.58	$1,202.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,071.52	Professional		$602.56	$1,000.00	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $323.59 / $676.08	Professional		$165.96	$323.59	$676.08