Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $75.86	Facility		$19.05	$19.05	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $56.23 / $91.20	Professional		$16.98	$56.23	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $81.28 / $239.88	Professional		$29.51	$81.28	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $436.52	Facility		$363.08	$363.08	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $58.88 / $190.55	Professional		$19.95	$58.88	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $60.26 / $120.23	Facility		$19.50	$60.26	$120.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $218.78	Professional		$38.90	$61.66	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $60.26 / $117.49	Facility		$19.50	$60.26	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $104.71 / $524.81	Professional		$67.61	$104.71	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $61.66 / $251.19	Professional		$27.54	$61.66	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $169.82 / $524.81	Professional		$25.12	$169.82	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $100.00	Professional		$25.70	$25.70	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $288.40	Professional		$47.86	$95.50	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $53.70 / $128.82	Professional		$20.89	$53.70	$128.82