Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $389.05	Professional		$112.20	$169.82	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $645.65	Professional		$79.43	$194.98	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $512.86 / $758.58	Facility		$457.09	$512.86	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $478.63	Professional		$162.18	$204.17	$478.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $426.58	Facility		$107.15	$169.82	$426.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $933.25	Professional		$851.14	$851.14	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $190.55 / $602.56	Facility		$107.15	$190.55	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $194.98 / $1,148.15	Professional		$91.20	$194.98	$1,148.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $85.11	Professional		$50.12	$70.79	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $489.78	Professional		$173.78	$331.13	$489.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $676.08	Facility		$338.84	$338.84	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $707.95 / $1,148.15	Professional		$181.97	$707.95	$1,148.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $302.00	Professional		$18.62	$18.62	$302.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $199.53 / $870.96	Professional		$18.62	$199.53	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $302.00	Professional		$85.11	$141.25	$302.00