Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $295.12 / $295.12	Facility		$128.82	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $128.82	Professional		$74.13	$87.10	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $426.58	Professional		$114.82	$134.90	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $549.54	Facility		$295.12	$346.74	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $269.15 / $331.13	Professional		$123.03	$269.15	$331.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $436.52 / $630.96	Facility		$109.65	$436.52	$630.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $707.95	Professional		$645.65	$645.65	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $371.54	Facility		$95.50	$138.04	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $537.03	Professional		$47.86	$64.57	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $354.81	Professional		$173.78	$251.19	$354.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $512.86 / $512.86	Facility		$213.80	$512.86	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $537.03 / $537.03	Professional		$154.88	$537.03	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $588.84 / $812.83	Professional		$309.03	$588.84	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $128.82	Facility		$85.11	$85.11	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $177.83	Professional		$44.67	$64.57	$177.83