Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $275.42 / $1,905.46	Facility		$131.83	$275.42	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $389.05	Professional		$123.03	$169.82	$389.05
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 $169.82 / $275.42 / $724.44	Professional		$169.82	$275.42	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $537.03 / $912.01	Facility		$467.74	$537.03	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $501.19 / $812.83	Professional		$204.17	$501.19	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $229.09 / $3,162.28	Facility		$138.04	$229.09	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $478.63	Professional		$245.47	$346.74	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $263.03 / $4,786.30	Facility		$138.04	$263.03	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $346.74 / $1,288.25	Professional		$177.83	$346.74	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $575.44	Professional		$229.09	$398.11	$575.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $4,786.30	Facility		$1,737.80	$3,235.94	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $851.14 / $1,258.93	Professional		$239.88	$851.14	$1,258.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $575.44	Professional		$436.52	$436.52	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,122.02	Professional		$478.63	$851.14	$1,122.02
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 $147.91 / $239.88 / $630.96	Professional		$147.91	$239.88	$630.96