Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $223.87 / $446.68	Facility		$151.36	$223.87	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $251.19	Professional		$147.91	$147.91	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $331.13	Facility		$186.21	$186.21	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $186.21	Professional		$147.91	$147.91	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $165.96 / $354.81	Facility		$144.54	$165.96	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $275.42	Professional		$147.91	$186.21	$275.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $309.03	Facility		$102.33	$141.25	$309.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $281.84	Professional		$213.80	$281.84	$281.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $302.00	Facility		$102.33	$141.25	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $223.87	Professional		$141.25	$141.25	$223.87
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 Professional Modifier Low / Median / High Price $147.91 / $147.91 / $426.58	Professional		$147.91	$147.91	$426.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $707.95	Facility		$147.91	$147.91	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $245.47	Professional		$138.04	$204.17	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $147.91	Facility		$138.04	$138.04	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $204.17	Professional		$147.91	$147.91	$204.17