Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $575.44 / $1,905.46	Facility		$309.03	$575.44	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $691.83	Professional		$263.03	$389.05	$691.83
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 $346.74 / $645.65 / $1,778.28	Professional		$346.74	$645.65	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,041.74	Facility		$1,096.48	$1,288.25	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $660.69 / $1,737.80	Professional		$295.12	$660.69	$1,737.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $398.11 / $2,238.72	Facility		$223.87	$398.11	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,174.90	Professional		$512.86	$741.31	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $3,235.94	Facility		$218.78	$407.38	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $891.25 / $3,019.95	Professional		$354.81	$891.25	$3,019.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,412.54	Professional		$457.09	$831.76	$1,412.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $1,995.26	Facility		$1,122.02	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $891.25 / $2,884.03	Professional		$288.40	$891.25	$2,884.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,548.82	Professional		$1,047.13	$1,047.13	$1,548.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $2,089.30	Professional		$870.96	$1,412.54	$2,089.30
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 $269.15 / $436.52 / $1,230.27	Professional		$269.15	$436.52	$1,230.27