Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $354.81 / $3,090.30	Facility		$165.96	$354.81	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $512.86	Professional		$154.88	$208.93	$512.86
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 $194.98 / $346.74 / $794.33	Professional		$194.98	$346.74	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $1,096.48	Facility		$588.84	$691.83	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $562.34 / $1,023.29	Professional		$223.87	$562.34	$1,023.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $275.42 / $3,548.13	Facility		$173.78	$275.42	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $616.60	Professional		$323.59	$457.09	$616.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $302.00 / $1,513.56	Facility		$173.78	$302.00	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $1,621.81	Professional		$186.21	$380.19	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $776.25	Professional		$316.23	$549.54	$776.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,047.13 / $1,995.26	Facility		$562.34	$1,047.13	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $977.24 / $1,584.89	Professional		$309.03	$977.24	$1,584.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $691.83	Professional		$537.03	$537.03	$691.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,096.48 / $1,412.54	Professional		$269.15	$1,096.48	$1,412.54
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 $165.96 / $281.84 / $724.44	Professional		$165.96	$281.84	$724.44