Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $151.36	Facility		$51.29	$74.13	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $85.11	Professional		$48.98	$48.98	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $112.20	Facility		$63.10	$63.10	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $63.10	Professional		$50.12	$50.12	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $138.04	Facility		$50.12	$57.54	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $93.33	Professional		$50.12	$63.10	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $48.98 / $48.98	Facility		$12.02	$48.98	$48.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $97.72 / $97.72	Professional		$8.32	$97.72	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $48.98 / $48.98	Facility		$12.02	$48.98	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $77.62	Professional		$48.98	$48.98	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $147.91	Professional		$50.12	$53.70	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $245.47	Facility		$50.12	$50.12	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $81.28	Professional		$50.12	$66.07	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $50.12	Facility		$48.98	$48.98	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $67.61	Professional		$50.12	$50.12	$67.61