Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $302.00	Professional		$239.88	$245.47	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $562.34	Facility		$467.74	$549.54	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $251.19 / $251.19	Professional		$64.57	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $457.09 / $794.33	Facility		$257.04	$457.09	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $281.84	Professional		$109.65	$123.03	$281.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $218.78 / $257.04	Facility		$63.10	$218.78	$257.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $257.04 / $323.59	Professional		$33.88	$257.04	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $239.88 / $1,148.15	Facility		$63.10	$239.88	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $251.19 / $323.59	Professional		$100.00	$251.19	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $89.13	Professional		$50.12	$58.88	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $147.91 / $223.87	Professional		$70.79	$147.91	$223.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,023.29 / $1,258.93	Facility		$257.04	$1,023.29	$1,258.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Security Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $218.78	Professional		$114.82	$134.90	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $223.87 / $251.19	Facility		$2.51	$223.87	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $251.19 / $302.00	Professional		$100.00	$251.19	$302.00