Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,905.46 / $14,454.40	Facility		$120.23	$1,905.46	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $562.34	Professional		$123.03	$204.17	$562.34
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 $190.55 / $275.42 / $676.08	Professional		$190.55	$275.42	$676.08
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 $165.96 / $323.59 / $10,471.29	Facility		$165.96	$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 $173.78 / $323.59 / $1,778.28	Facility		$173.78	$323.59	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $457.09 / $1,548.82	Professional		$186.21	$457.09	$1,548.82
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 $281.84 / $501.19 / $707.95	Professional		$281.84	$501.19	$707.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,258.93	Facility		$537.03	$537.03	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,513.56	Professional		$660.69	$851.14	$1,513.56
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 $186.21 / $380.19 / $776.25	Professional		$186.21	$380.19	$776.25