Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $17,782.79	Facility		$57.54	$57.54	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $112.20	Professional		$57.54	$93.33	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $6,165.95	Facility		$1,202.26	$1,584.89	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $331.13	Professional		$93.33	$134.90	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $512.86	Facility		$275.42	$323.59	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $190.55	Professional		$114.82	$165.96	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $218.78	Facility		$60.26	$97.72	$218.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $213.80 / $1,778.28	Facility		$89.13	$213.80	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $758.58	Professional		$102.33	$173.78	$758.58
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 $138.04 / $245.47 / $346.74	Professional		$138.04	$245.47	$346.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $616.60	Facility		$263.03	$263.03	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $467.74 / $741.31	Professional		$457.09	$467.74	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $707.95	Professional		$398.11	$660.69	$707.95
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 $102.33 / $154.88 / $436.52	Professional		$102.33	$154.88	$436.52