Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $177.83 / $218.78	Facility		$104.71	$177.83	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $117.49	Professional		$104.71	$104.71	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $281.84	Professional		$6.03	$6.03	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $269.15 / $426.58	Facility		$229.09	$269.15	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $251.19	Professional		$91.20	$114.82	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $323.59 / $467.74	Facility		$104.71	$323.59	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $104.71 / $380.19	Facility		$95.50	$104.71	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $181.97	Professional		$44.67	$60.26	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $120.23	Professional		$39.81	$79.43	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $263.03	Professional		$102.33	$199.53	$263.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $660.69	Facility		$158.49	$158.49	$660.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $169.82	Professional		$104.71	$104.71	$169.82
Security Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $436.52	Professional		$104.71	$104.71	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $85.11 / $95.50	Facility		$63.10	$85.11	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $194.98	Professional		$40.74	$60.26	$194.98