Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $245.47 / $398.11	Facility		$144.54	$245.47	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $302.00	Professional		$95.50	$125.89	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $398.11	Facility		$309.03	$389.05	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $602.56	Professional		$70.79	$70.79	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $467.74 / $741.31	Facility		$398.11	$467.74	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $457.09	Professional		$165.96	$346.74	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $812.83 / $1,148.15	Facility		$158.49	$812.83	$1,148.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $954.99	Professional		$870.96	$870.96	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $501.19	Facility		$131.83	$173.78	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $549.54	Professional		$83.18	$117.49	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $144.54	Professional		$54.95	$70.79	$144.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $371.54 / $501.19	Professional		$251.19	$371.54	$501.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $691.83 / $691.83	Facility		$316.23	$691.83	$691.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $724.44 / $724.44	Professional		$173.78	$724.44	$724.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $309.03	Professional		$147.91	$147.91	$309.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $575.44 / $794.33	Professional		$147.91	$575.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $173.78	Facility		$128.82	$128.82	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $281.84	Professional		$60.26	$109.65	$281.84