Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $208.93 / $1,905.46	Facility		$91.20	$208.93	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $338.84	Professional		$91.20	$138.04	$338.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $562.34 / $831.76	Professional	50	$309.03	$562.34	$831.76
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 $112.20 / $194.98 / $457.09	Professional		$112.20	$194.98	$457.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $288.40 / $691.83	Professional	50	$169.82	$288.40	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $436.52 / $707.95	Facility		$380.19	$436.52	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $371.54 / $645.65	Professional		$147.91	$371.54	$645.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $3,162.28	Facility		$93.33	$151.36	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $380.19	Professional		$186.21	$275.42	$380.19
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $407.38 / $562.34	Professional	50	$281.84	$407.38	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $165.96 / $1,513.56	Facility		$93.33	$165.96	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $239.88 / $1,047.13	Professional		$112.20	$239.88	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $489.78	Professional		$190.55	$323.59	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $331.13 / $1,288.25	Facility		$173.78	$331.13	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $602.56 / $1,023.29	Professional		$194.98	$602.56	$1,023.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $588.84 / $831.76	Professional		$204.17	$588.84	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $1,949.84	Facility		$1,023.29	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $165.96 / $446.68	Professional		$97.72	$165.96	$446.68