Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $954.99	Facility		$758.58	$933.25	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $794.33	Professional		$128.82	$169.82	$794.33
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 $138.04 / $275.42 / $645.65	Professional		$138.04	$275.42	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $741.31	Facility		$398.11	$457.09	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $524.81	Professional		$213.80	$467.74	$524.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $3,981.07 / $7,413.10	Facility		$158.49	$3,981.07	$7,413.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,398.83 / $4,466.84	Facility		$173.78	$2,398.83	$4,466.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $1,995.26	Professional		$138.04	$245.47	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $338.84 / $467.74	Professional		$186.21	$338.84	$467.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,630.27	Facility		$1,778.28	$1,778.28	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,230.27 / $2,041.74	Professional		$213.80	$1,230.27	$2,041.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,000.00 / $1,000.00	Professional		$154.88	$1,000.00	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $4,677.35	Facility		$2,344.23	$2,818.38	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $213.80 / $602.56	Professional		$131.83	$213.80	$602.56