Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $239.88	Professional		$131.83	$158.49	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $512.86	Facility		$309.03	$309.03	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $346.74	Professional		$234.42	$288.40	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $707.95 / $1,513.56	Facility		$177.83	$707.95	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $436.52 / $588.84	Professional		$128.82	$436.52	$588.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $234.42 / $363.08	Facility		$85.11	$234.42	$363.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $467.74	Professional		$275.42	$371.54	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $302.00 / $1,412.54	Facility		$112.20	$302.00	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $346.74	Professional		$131.83	$158.49	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $169.82	Professional		$54.95	$70.79	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $831.76	Professional		$309.03	$467.74	$831.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $616.60 / $1,698.24	Facility		$177.83	$616.60	$1,698.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $1,905.46	Professional		$128.82	$257.04	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $154.88 / $436.52	Facility		$123.03	$154.88	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $251.19	Professional		$104.71	$151.36	$251.19