Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $954.99 / $4,466.84	Facility		$95.50	$954.99	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $134.90 / $416.87	Professional		$54.95	$134.90	$416.87
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 $77.62 / $169.82 / $398.11	Professional		$77.62	$169.82	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $549.54	Facility		$295.12	$346.74	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $173.78 / $380.19	Professional		$81.28	$173.78	$380.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $158.49 / $3,715.35	Facility		$54.95	$158.49	$3,715.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $302.00	Professional		$107.15	$173.78	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $295.12 / $2,290.87	Facility		$58.88	$295.12	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $537.03	Professional		$87.10	$165.96	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $363.08	Professional		$32.36	$64.57	$363.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $346.74	Professional		$85.11	$158.49	$346.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,318.26 / $1,318.26	Facility		$128.82	$1,318.26	$1,318.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $218.78 / $776.25	Professional		$75.86	$218.78	$776.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $281.84	Professional		$125.89	$125.89	$281.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $602.56	Professional		$138.04	$275.42	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $316.23	Professional		$60.26	$114.82	$316.23