Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $245.47 / $263.03	Facility		$91.20	$245.47	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $302.00	Professional		$44.67	$87.10	$302.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	52	$234.42	$234.42	$234.42
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 $61.66 / $131.83 / $309.03	Professional		$61.66	$131.83	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $229.09 / $363.08	Facility		$194.98	$229.09	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $257.04	Professional		$72.44	$134.90	$257.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $102.33 / $3,715.35	Facility		$46.77	$102.33	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $218.78	Professional		$95.50	$131.83	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $144.54 / $1,778.28	Facility		$44.67	$144.54	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $549.54	Professional		$70.79	$138.04	$549.54
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 $77.62 / $138.04 / $234.42	Professional		$77.62	$138.04	$234.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,288.25 / $1,288.25	Facility		$147.91	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $147.91 / $537.03	Professional		$67.61	$147.91	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $407.38	Professional		$123.03	$245.47	$407.38
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 $53.70 / $100.00 / $245.47	Professional		$53.70	$100.00	$245.47