Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $977.24 / $977.24	Facility		$426.58	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $426.58	Professional		$251.19	$288.40	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $1,122.02	Professional		$204.17	$239.88	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,819.70	Facility		$977.24	$1,148.15	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $891.25 / $1,122.02	Professional		$407.38	$891.25	$1,122.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,479.11 / $2,238.72	Facility		$389.05	$1,479.11	$2,238.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,344.23	Professional		$2,137.96	$2,137.96	$2,344.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $426.58 / $1,258.93	Facility		$323.59	$426.58	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $1,778.28	Professional		$158.49	$213.80	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $85.11	Professional		$50.12	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,174.90	Professional		$562.34	$831.76	$1,174.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,698.24 / $1,698.24	Facility		$707.95	$1,698.24	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,412.54 / $1,778.28	Professional		$512.86	$1,412.54	$1,778.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $2,691.53	Professional		$1,023.29	$1,949.84	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $426.58	Facility		$281.84	$281.84	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $588.84	Professional		$147.91	$213.80	$588.84