Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $79.43	Professional		$39.81	$48.98	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $158.49	Facility		$95.50	$95.50	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $104.71	Professional		$81.28	$89.13	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $218.78 / $467.74	Facility		$58.88	$218.78	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $134.90 / $181.97	Professional		$42.66	$134.90	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $77.62 / $112.20	Facility		$46.77	$77.62	$112.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $177.83	Professional		$85.11	$141.25	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $436.52	Facility		$47.86	$93.33	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $107.15	Professional		$41.69	$50.12	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $85.11	Professional		$50.12	$63.10	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $263.03	Professional		$95.50	$144.54	$263.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $190.55 / $436.52	Facility		$58.88	$190.55	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $102.33 / $478.63	Professional		$42.66	$102.33	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $138.04	Facility		$38.90	$47.86	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $79.43	Professional		$33.11	$46.77	$79.43