Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $3,090.30	Facility		$165.96	$229.09	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $218.78	Professional		$104.71	$131.83	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,079.46	Facility		$2,344.23	$4,570.88	$7,079.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $524.81	Professional		$117.49	$213.80	$524.81
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $323.59 / $794.33	Professional	50	$177.83	$323.59	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $380.19 / $602.56	Facility		$323.59	$380.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $446.68	Professional		$123.03	$269.15	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $218.78 / $3,548.13	Facility		$117.49	$218.78	$3,548.13
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $354.81	Professional		$213.80	$295.12	$354.81
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $323.59 / $446.68 / $537.03	Professional	50	$323.59	$446.68	$537.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $218.78 / $5,248.07	Facility		$117.49	$218.78	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $331.13 / $1,995.26	Professional		$123.03	$331.13	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $398.11	Professional		$151.36	$275.42	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,890.45 / $3,890.45	Facility		$288.40	$3,890.45	$3,890.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $436.52 / $2,041.74	Professional		$123.03	$436.52	$2,041.74
Security Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,071.52 / $1,174.90	Professional		$478.63	$1,071.52	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $6,456.54	Facility		$2,884.03	$3,630.78	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $501.19	Professional		$109.65	$199.53	$501.19