Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $181.97 / $416.87	Facility		$51.29	$181.97	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $77.62 / $257.04	Professional		$51.29	$77.62	$257.04
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 $63.10 / $95.50 / $257.04	Professional		$63.10	$95.50	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $63.10 / $69.18	Facility		$52.48	$63.10	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $85.11	Professional		$63.10	$67.61	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $338.84	Facility		$181.97	$213.80	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $204.17	Professional		$60.26	$125.89	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $141.25 / $3,311.31	Facility		$51.29	$141.25	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $204.17	Professional		$102.33	$147.91	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $141.25 / $1,659.59	Facility		$54.95	$141.25	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $151.36 / $416.87	Professional		$67.61	$151.36	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $218.78	Professional		$93.33	$147.91	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,187.76 / $2,187.76	Facility		$389.05	$2,187.76	$2,187.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $501.19	Professional		$53.70	$107.15	$501.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $239.88 / $295.12	Professional		$114.82	$239.88	$295.12
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 $53.70 / $93.33 / $229.09	Professional		$53.70	$93.33	$229.09