Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $457.09 / $14,454.40	Facility		$269.15	$457.09	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $575.44	Professional		$213.80	$269.15	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $18,197.01 / $29,512.09	Facility		$12,882.50	$18,197.01	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $436.52 / $1,122.02	Professional		$229.09	$436.52	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $1,071.52	Facility		$575.44	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $794.33	Professional		$354.81	$707.95	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $6,918.31 / $13,489.63	Facility		$269.15	$6,918.31	$13,489.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $691.83	Professional		$398.11	$549.54	$691.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,691.53 / $7,943.28	Facility		$263.03	$2,691.53	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $2,187.76	Professional		$245.47	$446.68	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $549.54 / $933.25	Professional		$281.84	$549.54	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,786.30 / $4,786.30	Facility		$575.44	$4,786.30	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,122.02 / $2,187.76	Professional		$389.05	$1,122.02	$2,187.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,258.93 / $1,348.96	Professional		$588.84	$1,258.93	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $1,000.00	Professional		$229.09	$389.05	$1,000.00