Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $199.53 / $3,090.30	Facility		$93.33	$199.53	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $398.11	Professional		$93.33	$169.82	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Facility		$2,630.27	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $275.42 / $724.44	Professional		$141.25	$275.42	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $851.14	Facility		$457.09	$537.03	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $398.11 / $812.83	Professional		$177.83	$398.11	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $263.03 / $3,162.28	Facility		$100.00	$263.03	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $537.03	Professional		$177.83	$302.00	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $275.42 / $4,786.30	Facility		$107.15	$275.42	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $1,905.46	Professional		$275.42	$549.54	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $575.44	Professional		$169.82	$302.00	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $363.08 / $1,698.24	Facility		$194.98	$363.08	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,380.38 / $1,949.84	Professional		$190.55	$1,380.38	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $851.14 / $1,288.25	Professional		$204.17	$851.14	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $977.24	Professional		$181.97	$338.84	$977.24