Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $81.28 / $275.42	Facility		$39.81	$81.28	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $109.65	Professional		$38.90	$70.79	$109.65
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 $64.57 / $120.23 / $302.00	Professional		$64.57	$120.23	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $234.42 / $371.54	Facility		$199.53	$234.42	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $275.42	Professional		$66.07	$128.82	$275.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $109.65 / $3,715.35	Facility		$39.81	$109.65	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $223.87	Professional		$85.11	$131.83	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $147.91 / $1,778.28	Facility		$38.02	$147.91	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $645.65	Professional		$72.44	$134.90	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $269.15	Professional		$70.79	$125.89	$269.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,995.26 / $1,995.26	Facility		$162.18	$1,995.26	$1,995.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $158.49 / $977.24	Professional		$54.95	$158.49	$977.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $446.68	Professional		$181.97	$309.03	$446.68
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 $46.77 / $97.72 / $257.04	Professional		$46.77	$97.72	$257.04