Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $158.49 / $223.87	Facility		$40.74	$158.49	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $66.07 / $138.04	Professional		$33.11	$66.07	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $120.23	Facility		$72.44	$72.44	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $79.43	Professional		$50.12	$67.61	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $223.87 / $354.81	Facility		$44.67	$223.87	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $102.33 / $138.04	Professional		$38.02	$102.33	$138.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $58.88 / $102.33	Facility		$35.48	$58.88	$102.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $131.83	Professional		$64.57	$104.71	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $70.79 / $309.03	Facility		$39.81	$70.79	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $83.18	Professional		$31.62	$38.02	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $75.86	Professional		$16.98	$33.11	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $199.53	Professional		$72.44	$109.65	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $144.54 / $331.13	Facility		$44.67	$144.54	$331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $77.62 / $354.81	Professional		$38.02	$77.62	$354.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.02 / $50.12	Facility		$26.92	$38.02	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $64.57	Professional		$24.55	$35.48	$64.57