Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $158.49 / $1,905.46	Facility		$70.79	$158.49	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $363.08	Professional		$70.79	$138.04	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	50	$154.88	$154.88	$154.88
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 $109.65 / $173.78 / $371.54	Professional		$109.65	$173.78	$371.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $263.03 / $562.34	Professional	50	$169.82	$263.03	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $776.25	Facility		$398.11	$467.74	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $309.03 / $676.08	Professional		$125.89	$309.03	$676.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $158.49 / $3,162.28	Facility		$75.86	$158.49	$3,162.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $398.11	Professional		$141.25	$245.47	$398.11
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $371.54 / $602.56	Professional	50	$213.80	$371.54	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $173.78 / $3,311.31	Facility		$75.86	$173.78	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $2,137.96	Professional		$141.25	$245.47	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $512.86	Professional		$134.90	$251.19	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $2,691.53	Facility		$977.24	$1,819.70	$2,691.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $676.08 / $2,137.96	Professional		$162.18	$676.08	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $457.09 / $870.96	Professional		$204.17	$457.09	$870.96
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 $81.28 / $173.78 / $489.78	Professional		$81.28	$173.78	$489.78