Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $93.33	Facility		$28.84	$28.84	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $69.18 / $114.82	Professional		$25.70	$69.18	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $114.82 / $302.00	Professional		$44.67	$114.82	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $549.54	Facility		$446.68	$446.68	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $75.86 / $234.42	Professional		$29.51	$75.86	$234.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $81.28 / $204.17	Facility		$29.51	$81.28	$204.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $269.15	Professional		$58.88	$89.13	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $79.43 / $204.17	Facility		$29.51	$79.43	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $645.65	Professional		$85.11	$131.83	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $93.33 / $309.03	Professional		$41.69	$93.33	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $208.93 / $645.65	Professional		$39.81	$208.93	$645.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $123.03	Professional		$38.90	$38.90	$123.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $354.81	Professional		$72.44	$120.23	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $72.44 / $165.96	Professional		$30.20	$72.44	$165.96