Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $363.08 / $14,454.40	Facility		$177.83	$363.08	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $446.68	Professional		$162.18	$177.83	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $363.08 / $1,000.00	Professional		$169.82	$363.08	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $912.01	Facility		$467.74	$549.54	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $741.31 / $831.76	Professional		$257.04	$741.31	$831.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $316.23 / $5,495.41	Facility		$169.82	$316.23	$5,495.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $549.54	Professional		$316.23	$426.58	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $363.08 / $8,317.64	Facility		$169.82	$363.08	$8,317.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $3,548.13	Professional		$181.97	$363.08	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $602.56	Professional		$257.04	$389.05	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,025.60 / $8,912.51	Facility		$3,235.94	$6,025.60	$8,912.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,071.52 / $3,630.78	Professional		$323.59	$1,071.52	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $977.24 / $1,148.15	Professional		$524.81	$977.24	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,120.11	Facility		$4,897.79	$7,413.10	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $691.83	Professional		$177.83	$288.40	$691.83