Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $446.68 / $549.54	Facility		$239.88	$446.68	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $537.03	Professional		$151.36	$190.55	$537.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $537.03 / $549.54	Facility		$436.52	$537.03	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $831.76	Professional		$100.00	$100.00	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $645.65 / $1,023.29	Facility		$549.54	$645.65	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $478.63 / $630.96	Professional		$229.09	$478.63	$630.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,122.02 / $1,621.81	Facility		$223.87	$1,122.02	$1,621.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,348.96	Professional		$1,202.26	$1,202.26	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $707.95	Facility		$181.97	$239.88	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $1,000.00	Professional		$114.82	$165.96	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $199.53	Professional		$50.12	$64.57	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $512.86 / $691.83	Professional		$346.74	$512.86	$691.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $954.99 / $954.99	Facility		$436.52	$954.99	$954.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,000.00 / $1,000.00	Professional		$239.88	$1,000.00	$1,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $426.58	Professional		$208.93	$208.93	$426.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $794.33 / $1,096.48	Professional		$208.93	$794.33	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $239.88	Facility		$177.83	$177.83	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $389.05	Professional		$85.11	$154.88	$389.05