Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $489.78 / $1,905.46	Facility		$229.09	$489.78	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $602.56	Professional		$208.93	$257.04	$602.56
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 $251.19 / $446.68 / $1,122.02	Professional		$251.19	$446.68	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $831.76 / $1,318.26	Facility		$707.95	$831.76	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $794.33 / $1,258.93	Professional		$331.13	$794.33	$1,258.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $354.81 / $3,548.13	Facility		$234.42	$354.81	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $758.58	Professional		$426.58	$588.84	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $371.54 / $1,513.56	Facility		$234.42	$371.54	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $1,995.26	Professional		$263.03	$537.03	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $912.01	Professional		$407.38	$645.65	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $616.60 / $2,754.23	Facility		$263.03	$616.60	$2,754.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,258.93 / $1,949.84	Professional		$426.58	$1,258.93	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,513.56 / $1,737.80	Professional		$446.68	$1,513.56	$1,737.80
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 $245.47 / $371.54 / $1,000.00	Professional		$245.47	$371.54	$1,000.00