Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $501.19	Facility		$147.91	$147.91	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $218.78	Professional		$123.03	$144.54	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $457.09	Professional		$138.04	$194.98	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $416.87 / $676.08	Facility		$363.08	$416.87	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $309.03 / $407.38	Professional		$154.88	$309.03	$407.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $275.42	Facility		$125.89	$158.49	$275.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $407.38	Professional		$234.42	$281.84	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $316.23	Facility		$125.89	$158.49	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $870.96	Professional		$144.54	$239.88	$870.96
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 $138.04 / $275.42 / $398.11	Professional		$138.04	$275.42	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $870.96 / $870.96	Facility		$316.23	$870.96	$870.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $630.96 / $870.96	Professional		$144.54	$630.96	$870.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Security Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $478.63	Professional		$194.98	$281.84	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $758.58	Facility		$575.44	$575.44	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $426.58	Professional		$138.04	$208.93	$426.58