Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $933.25 / $4,897.79	Facility		$83.18	$933.25	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $213.80 / $457.09	Professional		$83.18	$213.80	$457.09
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 $158.49 / $371.54 / $933.25	Professional		$158.49	$371.54	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $812.83 / $1,288.25	Facility		$691.83	$812.83	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $426.58 / $776.25	Professional		$181.97	$426.58	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $537.03 / $4,265.80	Facility		$107.15	$537.03	$4,265.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $758.58	Professional		$208.93	$331.13	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $1,819.70 / $4,168.69	Facility		$107.15	$1,819.70	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $1,122.02	Professional		$281.84	$501.19	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $831.76	Professional		$162.18	$309.03	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $794.33	Facility		$251.19	$251.19	$794.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $537.03 / $1,819.70	Professional		$181.97	$537.03	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $489.78 / $1,122.02	Professional		$208.93	$489.78	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $4,677.35	Facility		$2,238.72	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $338.84 / $933.25	Professional		$120.23	$338.84	$933.25