Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $933.25 / $1,905.46	Facility		$21.88	$933.25	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $56.23 / $416.87	Professional		$22.91	$56.23	$416.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $208.93 / $489.78 / $489.78	Professional	50	$208.93	$489.78	$489.78
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 $36.31 / $75.86 / $346.74	Professional		$36.31	$75.86	$346.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.70 / $117.49 / $524.81	Professional	50	$53.70	$117.49	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $102.33 / $165.96	Facility		$89.13	$102.33	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $97.72 / $162.18	Professional		$41.69	$97.72	$162.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $69.18 / $3,162.28	Facility		$26.30	$69.18	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $104.71	Professional		$45.71	$66.07	$104.71
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $67.61 / $97.72 / $158.49	Professional	50	$67.61	$97.72	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $75.86 / $3,311.31	Facility		$26.92	$75.86	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $251.19 / $1,949.84	Professional		$44.67	$251.19	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $120.23	Professional		$42.66	$70.79	$120.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $2,691.53	Facility		$1,819.70	$2,691.53	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $977.24 / $1,949.84	Professional		$51.29	$977.24	$1,949.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $537.03	Professional		$144.54	$194.98	$537.03
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 $33.11 / $104.71 / $338.84	Professional		$33.11	$104.71	$338.84