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 $151.36 / $199.53 / $331.13	Professional		$151.36	$199.53	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $588.84 / $602.56	Facility		$467.74	$588.84	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $912.01	Professional		$104.71	$104.71	$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 / $676.08	Professional		$251.19	$524.81	$676.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,202.26 / $1,698.24	Facility		$239.88	$1,202.26	$1,698.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,445.44	Professional		$1,318.26	$1,318.26	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $263.03 / $758.58	Facility		$194.98	$263.03	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $1,096.48	Professional		$123.03	$177.83	$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 / $549.54 / $758.58	Professional		$380.19	$549.54	$758.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,047.13 / $1,047.13	Facility		$436.52	$1,047.13	$1,047.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,096.48 / $1,122.02	Professional		$141.25	$1,096.48	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $467.74	Professional		$218.78	$218.78	$467.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $630.96 / $1,202.26	Professional		$218.78	$630.96	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $263.03	Facility		$190.55	$190.55	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $426.58	Professional		$91.20	$162.18	$426.58