Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $251.19	Facility		$54.95	$70.79	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $102.33	Professional		$57.54	$74.13	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $269.15	Professional		$70.79	$107.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $269.15 / $398.11	Facility		$199.53	$269.15	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $87.10 / $257.04	Professional		$57.54	$87.10	$257.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $83.18 / $125.89	Facility		$64.57	$83.18	$125.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $190.55	Professional		$91.20	$125.89	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $83.18 / $128.82	Facility		$63.10	$83.18	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $489.78	Professional		$81.28	$154.88	$489.78
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 $79.43 / $117.49 / $194.98	Professional		$79.43	$117.49	$194.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $436.52	Facility		$154.88	$154.88	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $489.78	Professional		$56.23	$83.18	$489.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $288.40 / $407.38	Professional		$89.13	$288.40	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $91.20	Facility		$77.62	$77.62	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $263.03	Professional		$75.86	$114.82	$263.03