Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $537.03 / $676.08	Facility		$223.87	$537.03	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $275.42	Professional		$128.82	$158.49	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $501.19 / $512.86	Facility		$398.11	$501.19	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $741.31	Professional		$74.13	$74.13	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $954.99	Facility		$512.86	$602.56	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $575.44	Professional		$213.80	$380.19	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $776.25 / $1,174.90	Facility		$204.17	$776.25	$1,174.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,230.27	Professional		$1,122.02	$1,122.02	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $691.83	Facility		$165.96	$223.87	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $724.44	Professional		$93.33	$112.20	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $147.91	Professional		$50.12	$70.79	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $602.56	Professional		$302.00	$436.52	$602.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $870.96 / $870.96	Facility		$371.54	$870.96	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $741.31 / $912.01	Professional		$89.13	$741.31	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $398.11	Professional		$186.21	$186.21	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $537.03 / $1,000.00	Professional		$186.21	$537.03	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $223.87	Facility		$147.91	$147.91	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $309.03	Professional		$77.62	$112.20	$309.03