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 $91.20 / $107.15 / $131.83	Professional		$91.20	$107.15	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $354.81	Professional		$120.23	$194.98	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $371.54 / $602.56	Facility		$323.59	$371.54	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $229.09	Professional		$107.15	$181.97	$229.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $158.49	Facility		$97.72	$114.82	$158.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $363.08	Professional		$128.82	$223.87	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $169.82	Facility		$97.72	$114.82	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $776.25	Professional		$144.54	$229.09	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $380.19	Professional		$134.90	$194.98	$380.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $776.25	Facility		$229.09	$229.09	$776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $630.96 / $776.25	Professional		$107.15	$630.96	$776.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $302.00	Professional		$134.90	$134.90	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $346.74	Professional		$138.04	$204.17	$346.74