Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $223.87 / $1,905.46	Facility		$123.03	$223.87	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $302.00	Professional		$104.71	$169.82	$302.00
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 $141.25 / $269.15 / $724.44	Professional		$141.25	$269.15	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $281.84 / $741.31	Professional		$123.03	$281.84	$741.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $173.78 / $2,238.72	Facility		$107.15	$173.78	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $489.78	Professional		$199.53	$316.23	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $1,202.26	Facility		$109.65	$181.97	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $398.11 / $1,318.26	Professional		$169.82	$398.11	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $602.56	Professional		$177.83	$331.13	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,288.25 / $1,288.25	Facility		$436.52	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $389.05 / $1,288.25	Professional		$117.49	$389.05	$1,288.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $660.69	Professional		$398.11	$398.11	$660.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $891.25	Professional		$398.11	$588.84	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $512.86	Professional		$112.20	$190.55	$512.86