Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $407.38	Facility		$144.54	$239.88	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $380.19	Professional		$109.65	$181.97	$380.19
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 $181.97 / $338.84 / $933.25	Professional		$181.97	$338.84	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $954.99	Facility		$512.86	$602.56	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $426.58 / $812.83	Professional		$190.55	$426.58	$812.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $288.40 / $3,715.35	Facility		$109.65	$288.40	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $588.84	Professional		$257.04	$354.81	$588.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $371.54 / $5,623.41	Facility		$109.65	$371.54	$5,623.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $1,412.54	Professional		$204.17	$363.08	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $398.11 / $724.44	Professional		$223.87	$398.11	$724.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,288.25 / $1,288.25	Facility		$309.03	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $436.52 / $1,412.54	Professional		$154.88	$436.52	$1,412.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $707.95	Professional		$407.38	$407.38	$707.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $977.24	Professional		$512.86	$645.65	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $741.31	Professional		$138.04	$275.42	$741.31