Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $446.68 / $14,454.40	Facility		$275.42	$446.68	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $501.19	Professional		$204.17	$275.42	$501.19
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 $218.78 / $416.87 / $1,230.27	Professional		$218.78	$416.87	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $676.08 / $776.25	Professional		$371.54	$676.08	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $7,413.10 / $14,454.40	Facility		$251.19	$7,413.10	$14,454.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $660.69	Professional		$457.09	$575.44	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,388.44 / $9,549.93	Facility		$251.19	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $1,230.27	Professional		$269.15	$457.09	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $933.25	Professional		$389.05	$549.54	$933.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $2,290.87	Facility		$562.34	$562.34	$2,290.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,096.48 / $1,621.81	Professional		$371.54	$1,096.48	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,737.80	Professional		$1,258.93	$1,513.56	$1,737.80
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 $263.03 / $446.68 / $1,000.00	Professional		$263.03	$446.68	$1,000.00