Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $489.78	Facility		$165.96	$331.13	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $281.84	Professional		$162.18	$162.18	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $354.81 / $363.08	Facility		$302.00	$354.81	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $204.17	Professional		$154.88	$154.88	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $295.12 / $512.86	Facility		$162.18	$295.12	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $426.58	Professional		$162.18	$208.93	$426.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $141.25 / $234.42	Facility		$123.03	$141.25	$234.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $234.42	Facility		$109.65	$141.25	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $257.04	Professional		$144.54	$173.78	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $467.74	Professional		$165.96	$316.23	$467.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $354.81 / $524.81	Facility		$162.18	$354.81	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $275.42	Professional		$173.78	$223.87	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $141.25	Facility		$109.65	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $251.19	Professional		$144.54	$162.18	$251.19