Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $147.91 / $398.11	Facility		$61.66	$147.91	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $147.91	Professional		$40.74	$63.10	$147.91
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 $56.23 / $79.43 / $194.98	Professional		$56.23	$79.43	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $302.00	Facility		$162.18	$190.55	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $131.83 / $223.87	Professional		$52.48	$131.83	$223.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $3,548.13	Facility		$44.67	$89.13	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $165.96	Professional		$87.10	$112.20	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $89.13 / $1,778.28	Facility		$44.67	$89.13	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $131.83 / $1,949.84	Professional		$61.66	$131.83	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $208.93	Professional		$70.79	$125.89	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $3,890.45 / $3,890.45	Facility		$165.96	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $186.21 / $1,995.26	Professional		$60.26	$186.21	$1,995.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $588.84	Professional		$190.55	$398.11	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $234.42	Professional		$44.67	$81.28	$234.42