Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $1,905.46	Facility		$380.19	$524.81	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $588.84	Professional		$251.19	$338.84	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $7,943.28 / $12,589.25	Facility		$5,011.87	$7,943.28	$12,589.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $1,621.81	Professional		$288.40	$489.78	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $912.01 / $1,479.11	Facility		$794.33	$912.01	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $1,479.11	Professional		$354.81	$645.65	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $562.34 / $3,548.13	Facility		$281.84	$562.34	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $831.76	Professional		$512.86	$676.08	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $602.56 / $11,220.18	Facility		$281.84	$602.56	$11,220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $891.25 / $3,548.13	Professional		$338.84	$891.25	$3,548.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $1,023.29	Professional		$338.84	$660.69	$1,023.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,041.74 / $2,041.74	Facility		$660.69	$2,041.74	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,071.52 / $3,630.78	Professional		$426.58	$1,071.52	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,380.38	Professional		$1,174.90	$1,174.90	$1,380.38
Security Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $2,884.03	Professional		$1,318.26	$2,454.71	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,232.93 / $13,182.57	Facility		$6,606.93	$10,232.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $1,258.93	Professional		$288.40	$575.44	$1,258.93