Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $17,782.79	Facility		$107.15	$107.15	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $204.17	Professional		$107.15	$169.82	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $660.69	Professional		$169.82	$245.47	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $588.84 / $977.24	Facility		$501.19	$588.84	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $346.74	Professional		$213.80	$302.00	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $389.05	Facility		$109.65	$177.83	$389.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $389.05 / $4,168.69	Facility		$158.49	$389.05	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $1,380.38	Professional		$186.21	$316.23	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $630.96	Professional		$251.19	$446.68	$630.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $2,691.53	Facility		$977.24	$1,819.70	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $851.14 / $1,348.96	Professional		$831.76	$851.14	$1,348.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,288.25	Professional		$724.44	$1,202.26	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,677.35	Facility		$2,344.23	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $794.33	Professional		$181.97	$281.84	$794.33