Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $131.83	Professional		$70.79	$97.72	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $229.09	Facility		$138.04	$138.04	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $154.88	Professional		$128.82	$128.82	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $407.38 / $676.08	Facility		$95.50	$407.38	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $169.82 / $234.42	Professional		$95.50	$169.82	$234.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $134.90 / $173.78	Facility		$74.13	$134.90	$173.78
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $141.25 / $645.65	Facility		$74.13	$141.25	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $194.98	Professional		$70.79	$109.65	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $58.88 / $186.21	Professional		$0.72	$58.88	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $29.51 / $40.74	Professional		$15.85	$29.51	$40.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $269.15 / $645.65	Facility		$95.50	$269.15	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $112.20	Professional		$81.28	$95.50	$112.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $63.10 / $104.71	Facility		$8.71	$63.10	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $194.98	Professional		$52.48	$107.15	$194.98