Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $275.42	Facility		$46.77	$54.95	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $125.89	Professional		$25.70	$42.66	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $177.83	Professional		$29.51	$47.86	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $120.23	Facility		$64.57	$74.13	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $102.33	Professional		$39.81	$72.44	$102.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $34.67 / $51.29	Facility		$25.12	$34.67	$51.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $74.13	Professional		$45.71	$61.66	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $1,202.26 / $2,041.74	Facility		$27.54	$1,202.26	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $251.19	Professional		$51.29	$85.11	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $93.33	Professional		$45.71	$67.61	$93.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $5,248.07	Facility		$57.54	$57.54	$5,248.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $213.80 / $446.68	Professional		$37.15	$213.80	$446.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $363.08	Professional		$154.88	$165.96	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $190.55	Professional		$39.81	$79.43	$190.55