Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $630.96 / $1,995.26	Facility		$199.53	$630.96	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $457.09 / $933.25	Professional		$177.83	$457.09	$933.25
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 $245.47 / $691.83 / $1,995.26	Professional		$245.47	$691.83	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $2,818.38	Facility		$1,513.56	$1,737.80	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $707.95 / $2,344.23	Professional		$239.88	$707.95	$2,344.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $524.81 / $2,630.27	Facility		$181.97	$524.81	$2,630.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $758.58 / $1,445.44	Professional		$331.13	$758.58	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $549.54 / $3,801.89	Facility		$186.21	$549.54	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $4,073.80	Professional		$575.44	$1,122.02	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $758.58 / $2,041.74	Professional		$295.12	$758.58	$2,041.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,786.30	Facility		$3,235.94	$3,235.94	$4,786.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,023.29 / $3,890.45	Professional		$208.93	$1,023.29	$3,890.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $2,137.96	Professional		$660.69	$660.69	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,698.24 / $2,884.03	Professional		$794.33	$1,698.24	$2,884.03
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 $199.53 / $602.56 / $1,445.44	Professional		$199.53	$602.56	$1,445.44