Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $338.84	Facility		$245.47	$245.47	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $346.74	Professional		$102.33	$134.90	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $380.19	Professional		$134.90	$194.98	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $645.65	Facility		$309.03	$407.38	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $407.38	Professional		$131.83	$269.15	$407.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $281.84	Facility		$102.33	$138.04	$281.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $371.54	Professional		$234.42	$288.40	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $144.54 / $295.12	Facility		$104.71	$144.54	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $1,348.96	Professional		$134.90	$218.78	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $389.05	Professional		$154.88	$269.15	$389.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $831.76	Facility		$245.47	$245.47	$831.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $676.08 / $1,348.96	Professional		$125.89	$676.08	$1,348.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $426.58	Professional		$213.80	$295.12	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $331.13	Professional		$134.90	$186.21	$331.13