Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $109.65 / $389.05	Facility		$107.15	$109.65	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $177.83	Professional		$87.10	$102.33	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $354.81	Professional		$97.72	$162.18	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $323.59 / $524.81	Facility		$281.84	$323.59	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $234.42 / $354.81	Professional		$114.82	$234.42	$354.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $208.93	Facility		$95.50	$117.49	$208.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $295.12	Professional		$186.21	$218.78	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $213.80	Facility		$95.50	$117.49	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $630.96	Professional		$117.49	$245.47	$630.96
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 / $229.09 / $346.74	Professional		$138.04	$229.09	$346.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $630.96	Facility		$245.47	$245.47	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $323.59 / $630.96	Professional		$112.20	$323.59	$630.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $501.19 / $562.34	Professional		$199.53	$501.19	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $363.08	Professional		$109.65	$173.78	$363.08