Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $660.69	Facility		$186.21	$251.19	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $562.34	Professional		$147.91	$199.53	$562.34
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 $186.21 / $346.74 / $851.14	Professional		$186.21	$346.74	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $549.54 / $891.25	Facility		$478.63	$549.54	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $645.65	Professional		$263.03	$478.63	$645.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $363.08 / $3,801.89	Facility		$181.97	$363.08	$3,801.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $537.03	Professional		$316.23	$426.58	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,584.89 / $4,168.69	Facility		$181.97	$1,584.89	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $1,148.15	Professional		$190.55	$338.84	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $446.68 / $660.69	Professional		$234.42	$446.68	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,905.46	Facility		$1,288.25	$1,288.25	$1,905.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $489.78 / $1,318.26	Professional		$186.21	$489.78	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $933.25 / $1,096.48	Professional		$407.38	$933.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $4,677.35	Facility		$2,187.76	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $724.44	Professional		$169.82	$275.42	$724.44