Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $89.13 / $309.03	Facility		$25.12	$89.13	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $56.23 / $114.82	Professional		$21.88	$56.23	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $95.50	Professional		$23.99	$37.15	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $309.03	Facility		$165.96	$190.55	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $70.79 / $165.96	Professional		$27.54	$70.79	$165.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $54.95 / $107.15	Facility		$25.12	$54.95	$107.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $165.96	Professional		$43.65	$75.86	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $54.95 / $117.49	Facility		$22.91	$54.95	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $134.90 / $478.63	Professional		$77.62	$134.90	$478.63
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 $38.90 / $69.18 / $199.53	Professional		$38.90	$69.18	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $54.95 / $478.63	Facility		$38.90	$54.95	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $75.86 / $478.63	Professional		$26.30	$75.86	$478.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $107.15	Professional		$38.90	$38.90	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $107.15 / $239.88	Professional		$44.67	$107.15	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $77.62 / $181.97	Professional		$27.54	$77.62	$181.97