Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $389.05 / $1,905.46	Facility		$190.55	$389.05	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $707.95	Professional		$181.97	$309.03	$707.95
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $190.55 / $323.59 / $416.87	Professional	54	$190.55	$323.59	$416.87
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 / $371.54 / $933.25	Professional		$194.98	$371.54	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $1,047.13	Facility		$562.34	$660.69	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $630.96 / $1,071.52	Professional		$229.09	$630.96	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $281.84 / $3,162.28	Facility		$186.21	$281.84	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $616.60	Professional		$371.54	$489.78	$616.60
DeanCare Facility/Professional Professional Modifier 54 Low / Median / High Price $295.12 / $398.11 / $489.78	Professional	54	$295.12	$398.11	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $1,513.56	Facility		$186.21	$302.00	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $1,548.82	Professional		$194.98	$407.38	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $812.83	Professional		$371.54	$549.54	$812.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $2,951.21	Facility		$263.03	$512.86	$2,951.21
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $363.08 / $363.08 / $851.14	Facility	54	$363.08	$363.08	$851.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $954.99 / $1,548.82	Professional		$338.84	$954.99	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,258.93 / $1,348.96	Professional		$269.15	$1,258.93	$1,348.96
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 $186.21 / $288.40 / $794.33	Professional		$186.21	$288.40	$794.33