Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $331.13	Professional		$186.21	$199.53	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $389.05	Professional		$199.53	$229.09	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $436.52 / $758.58	Facility		$208.93	$436.52	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $269.15	Professional		$213.80	$239.88	$269.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $208.93 / $208.93	Facility		$162.18	$208.93	$208.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $309.03	Professional		$89.13	$89.13	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $208.93 / $208.93	Facility		$162.18	$208.93	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $309.03	Professional		$234.42	$234.42	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $741.31	Facility		$208.93	$208.93	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $407.38	Professional		$218.78	$218.78	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $323.59	Professional		$234.42	$234.42	$323.59