Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $446.68 / $446.68	Facility		$194.98	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $194.98	Professional		$123.03	$141.25	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $436.52 / $446.68	Facility		$354.81	$436.52	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $630.96	Professional		$69.18	$81.28	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $524.81 / $851.14	Facility		$446.68	$524.81	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $416.87 / $512.86	Professional		$186.21	$416.87	$512.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $831.76 / $1,174.90	Facility		$181.97	$831.76	$1,174.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,096.48	Professional		$977.24	$977.24	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $575.44	Facility		$147.91	$208.93	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $812.83	Professional		$85.11	$120.23	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $537.03	Professional		$263.03	$389.05	$537.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $776.25 / $776.25	Facility		$331.13	$776.25	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $812.83 / $812.83	Professional		$239.88	$812.83	$812.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $1,258.93	Professional		$478.63	$891.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $194.98	Facility		$144.54	$144.54	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $316.23	Professional		$69.18	$117.49	$316.23