Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $158.49	Facility		$43.65	$43.65	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $58.88	Professional		$38.90	$43.65	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $147.91	Professional		$43.65	$67.61	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $199.53	Facility		$107.15	$125.89	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $104.71 / $120.23	Professional		$44.67	$104.71	$120.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $52.48 / $117.49	Facility		$40.74	$52.48	$117.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $117.49	Professional		$75.86	$91.20	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $52.48 / $117.49	Facility		$39.81	$52.48	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $165.96	Professional		$41.69	$66.07	$165.96
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 $63.10 / $93.33 / $128.82	Professional		$63.10	$93.33	$128.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $263.03	Facility		$97.72	$97.72	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $77.62 / $263.03	Professional		$34.67	$77.62	$263.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $144.54	Professional		$70.79	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $151.36	Professional		$41.69	$63.10	$151.36