Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $269.15 / $1,778.28	Facility		$6.03	$269.15	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $30.20	Professional		$6.03	$12.02	$30.20
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 $12.02 / $22.91 / $54.95	Professional		$12.02	$22.91	$54.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $18.20 / $34.67 / $83.18	Professional	50	$18.20	$34.67	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.71 / $72.44	Facility		$38.90	$45.71	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $19.50 / $43.65	Professional		$8.51	$19.50	$43.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $20.89 / $3,311.31	Facility		$7.59	$20.89	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.12 / $42.66	Professional		$13.80	$25.12	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $21.38 / $1,659.59	Facility		$7.94	$21.38	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $27.54 / $120.23	Professional		$14.45	$27.54	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $70.79	Professional		$22.91	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.44 / $46.77	Professional		$12.88	$23.44	$46.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $1,288.25 / $1,288.25	Facility		$29.51	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $18.20 / $131.83	Professional		$7.94	$18.20	$131.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $63.10	Professional		$16.98	$32.36	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $18.20 / $47.86	Professional		$8.13	$18.20	$47.86