Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $380.19 / $14,454.40	Facility		$173.78	$380.19	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $562.34	Professional		$173.78	$204.17	$562.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,413.10	Facility		$3,162.28	$4,786.30	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $912.01	Professional		$190.55	$363.08	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $891.25	Facility		$478.63	$562.34	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $741.31 / $831.76	Professional		$281.84	$741.31	$831.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $371.54 / $10,000.00	Facility		$181.97	$371.54	$10,000.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $575.44	Professional		$331.13	$446.68	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $380.19 / $7,585.78	Facility		$181.97	$380.19	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $3,090.30	Professional		$204.17	$354.81	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $660.69	Professional		$295.12	$457.09	$660.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,235.94 / $3,235.94	Facility		$478.63	$3,235.94	$3,235.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,023.29 / $3,090.30	Professional		$354.81	$1,023.29	$3,090.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,071.52 / $1,202.26	Professional		$575.44	$1,071.52	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $812.83	Professional		$199.53	$295.12	$812.83