Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $575.44	Facility		$165.96	$239.88	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $436.52	Professional		$134.90	$173.78	$436.52
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 / $281.84 / $707.95	Professional		$158.49	$281.84	$707.95
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 $190.55 / $489.78 / $794.33	Professional		$190.55	$489.78	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $229.09 / $3,548.13	Facility		$144.54	$229.09	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $478.63	Professional		$269.15	$371.54	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $1,584.89	Facility		$144.54	$263.03	$1,584.89
Medica Facility/Professional Facility Modifier 54 Low / Median / High Price $630.96 / $630.96 / $630.96	Facility	54	$630.96	$630.96	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $316.23 / $1,258.93	Professional		$158.49	$316.23	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $575.44	Professional		$263.03	$407.38	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,258.93 / $1,819.70	Facility		$223.87	$1,258.93	$1,819.70
Quartz Facility/Professional Facility Modifier 54 Low / Median / High Price $295.12 / $295.12 / $630.96	Facility	54	$295.12	$295.12	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $794.33 / $1,230.27	Professional		$269.15	$794.33	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $954.99 / $1,096.48	Professional		$204.17	$954.99	$1,096.48
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 $147.91 / $229.09 / $630.96	Professional		$147.91	$229.09	$630.96