Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $147.91 / $1,905.46	Facility		$107.15	$147.91	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $147.91	Professional		$70.79	$91.20	$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 $81.28 / $138.04 / $380.19	Professional		$81.28	$138.04	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $269.15 / $426.58	Facility		$229.09	$269.15	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $407.38	Professional		$79.43	$190.55	$407.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $3,548.13	Facility		$77.62	$128.82	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $251.19	Professional		$147.91	$190.55	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $1,778.28	Facility		$77.62	$128.82	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $186.21 / $851.14	Professional		$85.11	$186.21	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $295.12	Professional		$93.33	$186.21	$295.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,288.25 / $1,288.25	Facility		$186.21	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $309.03 / $851.14	Professional		$85.11	$309.03	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $407.38	Professional		$338.84	$338.84	$407.38
Security Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $831.76	Professional		$363.08	$691.83	$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 $74.13 / $128.82 / $331.13	Professional		$74.13	$128.82	$331.13