Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $467.74 / $1,905.46	Facility		$245.47	$467.74	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $616.60	Professional		$213.80	$323.59	$616.60
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 $288.40 / $537.03 / $1,479.11	Professional		$288.40	$537.03	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,659.59	Facility		$891.25	$1,023.29	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $1,288.25	Professional		$263.03	$537.03	$1,288.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $346.74 / $2,238.72	Facility		$218.78	$346.74	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $954.99	Professional		$416.87	$616.60	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $371.54 / $3,548.13	Facility		$229.09	$371.54	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $812.83 / $2,454.71	Professional		$346.74	$812.83	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $1,148.15	Professional		$363.08	$660.69	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $3,715.35	Facility		$2,511.89	$3,715.35	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $707.95 / $2,398.83	Professional		$251.19	$707.95	$2,398.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,230.27	Professional		$812.83	$812.83	$1,230.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $1,659.59	Professional		$707.95	$1,174.90	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $6,456.54	Facility		$2,884.03	$3,801.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $1,071.52	Professional		$245.47	$398.11	$1,071.52