Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $204.17	Professional		$114.82	$138.04	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $436.52	Facility		$263.03	$263.03	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $288.40	Professional		$223.87	$245.47	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $602.56 / $1,288.25	Facility		$165.96	$602.56	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $371.54 / $501.19	Professional		$120.23	$371.54	$501.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $323.59	Facility		$128.82	$213.80	$323.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $407.38	Professional		$234.42	$323.59	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $257.04 / $1,230.27	Facility		$128.82	$257.04	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $295.12	Professional		$107.15	$138.04	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $257.04	Professional		$54.95	$70.79	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $724.44	Professional		$263.03	$389.05	$724.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $524.81 / $1,479.11	Facility		$165.96	$524.81	$1,479.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $2,187.76	Professional		$120.23	$245.47	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $380.19	Facility		$107.15	$134.90	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $218.78	Professional		$91.20	$128.82	$218.78