Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $316.23	Professional		$147.91	$263.03	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $562.34	Facility		$338.84	$338.84	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $380.19	Professional		$316.23	$316.23	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,659.59	Facility		$891.25	$1,047.13	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $645.65	Professional		$389.05	$478.63	$645.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $346.74	Facility		$245.47	$331.13	$346.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $331.13 / $1,548.82	Facility		$245.47	$331.13	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $812.83	Professional		$165.96	$331.13	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,000.00	Professional		$338.84	$512.86	$1,000.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,584.89 / $1,584.89	Facility		$676.08	$1,584.89	$1,584.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $870.96	Professional		$128.82	$309.03	$870.96