Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $295.12	Professional		$114.82	$162.18	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $398.11 / $891.25	Professional		$77.62	$398.11	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $457.09 / $676.08	Facility		$398.11	$457.09	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $199.53 / $416.87	Professional		$67.61	$199.53	$416.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $416.87	Facility		$123.03	$165.96	$416.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $426.58	Professional		$389.05	$389.05	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $169.82 / $933.25	Facility		$123.03	$169.82	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $2,187.76	Professional		$104.71	$213.80	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $85.11	Professional		$32.36	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $354.81 / $467.74	Professional		$245.47	$354.81	$467.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $933.25	Facility		$269.15	$269.15	$933.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $1,288.25 / $2,238.72	Professional		$67.61	$1,288.25	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $630.96	Professional		$295.12	$295.12	$630.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $891.25	Professional		$407.38	$630.96	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $467.74	Professional		$91.20	$134.90	$467.74