Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $17,782.79	Facility		$109.65	$109.65	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $269.15	Professional		$109.65	$177.83	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $1,071.52	Professional		$229.09	$398.11	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $794.33	Facility		$426.58	$501.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $457.09	Professional		$181.97	$229.09	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $275.42	Facility		$109.65	$177.83	$275.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,202.26 / $1,778.28	Facility		$162.18	$1,202.26	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $1,318.26	Professional		$173.78	$302.00	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $70.79	Professional		$33.11	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $380.19 / $524.81	Professional		$177.83	$380.19	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,288.25 / $1,288.25	Facility		$416.87	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,288.25 / $1,288.25	Professional		$371.54	$1,288.25	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,548.82	Professional		$1,122.02	$1,548.82	$1,548.82
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 $158.49 / $269.15 / $588.84	Professional		$158.49	$269.15	$588.84