Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $93.33 / $93.33	Facility		$39.81	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $39.81	Professional		$22.91	$26.92	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $93.33	Facility		$72.44	$91.20	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.49 / $120.23	Professional		$11.48	$13.49	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $173.78	Facility		$93.33	$109.65	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $85.11 / $104.71	Professional		$38.90	$85.11	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $138.04 / $199.53	Facility		$37.15	$138.04	$199.53
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $223.87	Professional		$204.17	$204.17	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $43.65 / $117.49	Facility		$30.20	$43.65	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $169.82	Professional		$15.14	$20.42	$169.82
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 $52.48 / $79.43 / $112.20	Professional		$52.48	$79.43	$112.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $162.18 / $162.18	Facility		$67.61	$162.18	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $169.82 / $169.82	Professional		$48.98	$169.82	$169.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $257.04	Professional		$97.72	$186.21	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $40.74	Facility		$26.92	$26.92	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $56.23	Professional		$14.13	$20.42	$56.23