Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $812.83 / $1,479.11	Facility		$354.81	$812.83	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $436.52	Professional		$208.93	$251.19	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $794.33 / $812.83	Facility		$630.96	$794.33	$812.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $1,174.90	Professional		$117.49	$117.49	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $954.99 / $1,513.56	Facility		$812.83	$954.99	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $933.25	Professional		$338.84	$588.84	$933.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,202.26 / $1,737.80	Facility		$323.59	$1,202.26	$1,737.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,949.84	Professional		$1,778.28	$1,778.28	$1,949.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $1,047.13	Facility		$269.15	$354.81	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $1,479.11	Professional		$131.83	$177.83	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $269.15	Professional		$50.12	$64.57	$269.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $977.24	Professional		$512.86	$691.83	$977.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $1,412.54	Facility		$912.01	$1,412.54	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,479.11 / $1,479.11	Professional		$141.25	$1,479.11	$1,479.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,621.81 / $2,238.72	Professional		$851.14	$1,621.81	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $354.81	Facility		$234.42	$234.42	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $489.78	Professional		$123.03	$177.83	$489.78