Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $263.03	Facility		$83.18	$85.11	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $245.47	Professional		$83.18	$93.33	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $204.17	Professional		$85.11	$85.11	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $269.15	Facility		$95.50	$154.88	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $213.80	Professional		$75.86	$95.50	$213.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $213.80	Facility		$85.11	$100.00	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $112.20 / $407.38	Facility		$85.11	$112.20	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $131.83	Professional		$83.18	$93.33	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $346.74	Professional		$134.90	$257.04	$346.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $295.12	Facility		$85.11	$95.50	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $380.19	Professional		$87.10	$87.10	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $141.25	Professional		$83.18	$95.50	$141.25