Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $213.80	Facility		$112.20	$199.53	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $112.20	Professional		$64.57	$79.43	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $251.19 / $257.04	Facility		$204.17	$251.19	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $380.19	Professional		$38.02	$38.02	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $478.63	Facility		$257.04	$302.00	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $354.81 / $407.38	Professional		$134.90	$354.81	$407.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $416.87 / $575.44	Facility		$77.62	$416.87	$575.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $575.44	Professional		$263.03	$524.81	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $112.20 / $186.21	Facility		$63.10	$112.20	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $812.83	Professional		$54.95	$93.33	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $131.83	Professional		$32.36	$58.88	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $416.87	Professional		$151.36	$257.04	$416.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $446.68 / $446.68	Facility		$190.55	$446.68	$446.68
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 $69.18 / $69.18 / $251.19	Professional		$69.18	$69.18	$251.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $269.15 / $630.96	Professional		$69.18	$269.15	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $181.97	Professional		$41.69	$56.23	$181.97