Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $776.25	Facility		$223.87	$223.87	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $309.03	Professional		$169.82	$213.80	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $741.31	Professional		$204.17	$302.00	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $660.69 / $1,047.13	Facility		$562.34	$660.69	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $537.03 / $776.25	Professional		$229.09	$537.03	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $239.88 / $416.87	Facility		$190.55	$239.88	$416.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $575.44	Professional		$371.54	$436.52	$575.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $251.19 / $426.58	Facility		$194.98	$251.19	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $407.38 / $1,380.38	Professional		$165.96	$407.38	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $724.44	Professional		$288.40	$512.86	$724.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,380.38 / $1,380.38	Facility		$489.78	$1,380.38	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,047.13 / $1,380.38	Professional		$234.42	$1,047.13	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $676.08 / $1,122.02	Professional		$316.23	$676.08	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $446.68	Facility		$338.84	$338.84	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $724.44	Professional		$169.82	$323.59	$724.44