Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $302.00	Professional		$190.55	$257.04	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $724.44 / $724.44	Facility		$398.11	$724.44	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $489.78	Professional		$331.13	$398.11	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $1,584.89	Facility		$269.15	$269.15	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $758.58	Professional		$269.15	$478.63	$758.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $398.11 / $467.74	Facility		$257.04	$398.11	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $1,819.70	Facility		$257.04	$467.74	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $389.05	Professional		$165.96	$229.09	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $323.59	Professional		$50.12	$64.57	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $125.89	Professional		$52.48	$91.20	$125.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $776.25 / $1,819.70	Facility		$269.15	$776.25	$1,819.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $302.00	Professional		$229.09	$269.15	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $165.96 / $295.12	Facility		$19.95	$165.96	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $407.38	Professional		$147.91	$223.87	$407.38