Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $588.84 / $912.01	Facility		$77.62	$588.84	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $87.10 / $371.54	Professional		$30.20	$87.10	$371.54
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 $47.86 / $114.82 / $309.03	Professional		$47.86	$114.82	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $239.88 / $380.19	Facility		$204.17	$239.88	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $107.15 / $281.84	Professional		$50.12	$107.15	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $128.82 / $3,715.35	Facility		$30.20	$128.82	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $223.87	Professional		$63.10	$100.00	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $158.49 / $1,778.28	Facility		$29.51	$158.49	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $660.69	Professional		$77.62	$151.36	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $102.33 / $269.15	Professional		$51.29	$102.33	$269.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,318.26 / $1,318.26	Facility		$199.53	$1,318.26	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $165.96 / $660.69	Professional		$39.81	$165.96	$660.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $457.09	Professional		$131.83	$245.47	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $104.71 / $269.15	Professional		$41.69	$104.71	$269.15