Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $416.87 / $1,905.46	Facility		$218.78	$416.87	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $588.84	Professional		$190.55	$323.59	$588.84
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 $251.19 / $524.81 / $1,380.38	Professional		$251.19	$524.81	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,778.28	Facility		$954.99	$1,122.02	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $524.81 / $1,318.26	Professional		$223.87	$524.81	$1,318.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $2,238.72	Facility		$181.97	$316.23	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $602.56 / $954.99	Professional		$371.54	$602.56	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $323.59 / $3,235.94	Facility		$177.83	$323.59	$3,235.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $758.58 / $2,630.27	Professional		$309.03	$758.58	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $1,258.93	Professional		$338.84	$645.65	$1,258.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $1,513.56	Facility		$977.24	$1,513.56	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $691.83 / $2,570.40	Professional		$218.78	$691.83	$2,570.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,318.26	Professional		$724.44	$724.44	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $1,778.28	Professional		$630.96	$1,071.52	$1,778.28
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 $194.98 / $354.81 / $977.24	Professional		$194.98	$354.81	$977.24