Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $338.84 / $426.58	Professional		$245.47	$338.84	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $851.14 / $851.14	Facility		$467.74	$851.14	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $467.74 / $602.56	Professional		$436.52	$467.74	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $398.11 / $1,862.09	Facility		$302.00	$398.11	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $912.01	Professional		$302.00	$562.34	$912.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $489.78 / $758.58	Facility		$234.42	$489.78	$758.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $660.69 / $2,137.96	Facility		$338.84	$660.69	$2,137.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $588.84	Professional		$234.42	$354.81	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $645.65	Professional		$50.12	$58.88	$645.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $131.83	Professional		$61.66	$97.72	$131.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $933.25 / $2,137.96	Facility		$302.00	$933.25	$2,137.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $363.08	Professional		$257.04	$302.00	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $223.87 / $338.84	Facility		$27.54	$223.87	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $602.56	Professional		$218.78	$354.81	$602.56