Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $95.50 / $380.19	Facility		$83.18	$95.50	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $229.09	Professional		$61.66	$91.20	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $346.74	Professional		$91.20	$158.49	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $338.84 / $478.63	Facility		$64.57	$338.84	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $346.74	Professional		$138.04	$295.12	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $93.33 / $208.93	Facility		$67.61	$93.33	$208.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $316.23	Professional		$177.83	$213.80	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $120.23 / $288.40	Facility		$70.79	$120.23	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $707.95	Professional		$95.50	$147.91	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $245.47 / $363.08	Professional		$123.03	$245.47	$363.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $263.03 / $707.95	Facility		$64.57	$263.03	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $478.63 / $707.95	Professional		$117.49	$478.63	$707.95
Security Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $354.81	Professional		$177.83	$331.13	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $295.12	Professional		$95.50	$134.90	$295.12