Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $87.10	Professional		$38.02	$57.54	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $295.12	Professional		$57.54	$125.89	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $97.72	Professional		$87.10	$97.72	$97.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $57.54 / $93.33	Facility		$38.02	$57.54	$93.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $67.61	Professional		$66.07	$66.07	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $97.72	Facility		$38.90	$57.54	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $562.34	Professional		$53.70	$89.13	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $162.18	Professional		$63.10	$109.65	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $562.34	Facility		$114.82	$114.82	$562.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $562.34 / $562.34	Professional		$239.88	$562.34	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $331.13	Facility		$251.19	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $79.43 / $173.78	Professional		$50.12	$79.43	$173.78