Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $1,905.46 / $6,309.57	Facility		$91.20	$1,905.46	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $199.53 / $630.96	Professional		$69.18	$199.53	$630.96
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 $95.50 / $323.59 / $954.99	Professional		$95.50	$323.59	$954.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $91.20 / $125.89	Facility		$67.61	$91.20	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $371.54	Professional		$316.23	$346.74	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $1,445.44	Facility		$776.25	$912.01	$1,445.44
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	52	$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.55 / $24.55 / $24.55	Facility	53	$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $302.00 / $1,071.52	Professional		$89.13	$302.00	$1,071.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $204.17 / $2,238.72	Facility		$70.79	$204.17	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $302.00 / $758.58	Professional		$131.83	$302.00	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $218.78 / $2,691.53	Facility		$72.44	$218.78	$2,691.53
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	52	$263.03	$263.03	$263.03
Medica Facility/Professional Facility Modifier 53 Low / Median / High Price $66.07 / $66.07 / $66.07	Facility	53	$66.07	$66.07	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $602.56 / $2,089.30	Professional		$208.93	$602.56	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $346.74 / $1,071.52	Professional		$120.23	$346.74	$1,071.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $2,754.23	Facility		$1,862.09	$2,754.23	$2,754.23
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $1,513.56 / $1,513.56 / $2,238.72	Facility	52	$1,513.56	$1,513.56	$2,238.72
Quartz Facility/Professional Facility Modifier 53 Low / Median / High Price $380.19 / $380.19 / $549.54	Facility	53	$380.19	$380.19	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $676.08 / $1,995.26	Professional		$89.13	$676.08	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $1,445.44	Professional		$257.04	$389.05	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,677.35	Facility		$2,344.23	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $218.78 / $630.96	Professional		$75.86	$218.78	$630.96