Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $36.31 / $109.65	Facility		$11.75	$36.31	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $75.86	Professional		$33.88	$39.81	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $120.23	Facility		$74.13	$74.13	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $83.18	Professional		$63.10	$69.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $169.82 / $363.08	Facility		$46.77	$169.82	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $104.71 / $138.04	Professional		$33.88	$104.71	$138.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $58.88 / $87.10	Facility		$23.44	$58.88	$87.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $141.25	Professional		$66.07	$114.82	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $72.44 / $380.19	Facility		$36.31	$72.44	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $87.10	Professional		$33.88	$43.65	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $58.88 / $77.62	Professional		$27.54	$58.88	$77.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $213.80	Professional		$74.13	$109.65	$213.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $147.91 / $380.19	Facility		$46.77	$147.91	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $67.61 / $478.63	Professional		$33.88	$67.61	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $117.49	Facility		$19.05	$38.02	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $61.66	Professional		$28.18	$36.31	$61.66