Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $181.97 / $436.52	Facility		$93.33	$181.97	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $323.59	Professional		$83.18	$120.23	$323.59
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 $109.65 / $218.78 / $512.86	Professional		$109.65	$218.78	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $281.84 / $426.58	Professional		$134.90	$281.84	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $190.55 / $3,715.35	Facility		$81.28	$190.55	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $346.74	Professional		$190.55	$257.04	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $234.42 / $1,778.28	Facility		$81.28	$234.42	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $213.80 / $870.96	Professional		$114.82	$213.80	$870.96
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 $134.90 / $263.03 / $398.11	Professional		$134.90	$263.03	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,288.25 / $1,288.25	Facility		$281.84	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $281.84 / $891.25	Professional		$107.15	$281.84	$891.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $426.58 / $575.44	Professional		$245.47	$426.58	$575.44
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 $91.20 / $162.18 / $436.52	Professional		$91.20	$162.18	$436.52