Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $489.78 / $602.56	Facility		$263.03	$489.78	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $346.74	Professional		$165.96	$194.98	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $588.84 / $602.56	Facility		$478.63	$588.84	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $912.01	Professional		$109.65	$109.65	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $707.95 / $1,122.02	Facility		$602.56	$707.95	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $524.81 / $691.83	Professional		$251.19	$524.81	$691.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,230.27 / $1,778.28	Facility		$245.47	$1,230.27	$1,778.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,479.11	Professional		$1,318.26	$1,318.26	$1,479.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $263.03 / $776.25	Facility		$199.53	$263.03	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $1,096.48	Professional		$125.89	$181.97	$1,096.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $218.78	Professional		$50.12	$64.57	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $758.58	Professional		$380.19	$562.34	$758.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,047.13	Facility		$588.84	$1,047.13	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,096.48 / $1,096.48	Professional		$263.03	$1,096.48	$1,096.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $467.74	Professional		$229.09	$229.09	$467.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $870.96 / $1,202.26	Professional		$229.09	$870.96	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Facility		$194.98	$194.98	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $169.82 / $426.58	Professional		$93.33	$169.82	$426.58