Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $316.23	Professional		$151.36	$204.17	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $691.83	Facility		$416.87	$416.87	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $457.09	Professional		$245.47	$389.05	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $954.99 / $2,041.74	Facility		$263.03	$954.99	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $588.84 / $794.33	Professional		$194.98	$588.84	$794.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $338.84 / $512.86	Facility		$169.82	$338.84	$512.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $630.96	Professional		$371.54	$501.19	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $407.38 / $1,659.59	Facility		$208.93	$407.38	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $467.74	Professional		$154.88	$229.09	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $173.78	Professional		$54.95	$70.79	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $977.24	Professional		$416.87	$630.96	$977.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $831.76 / $1,737.80	Facility		$263.03	$831.76	$1,737.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $1,862.09	Professional		$194.98	$346.74	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $501.19	Facility		$181.97	$229.09	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $338.84	Professional		$138.04	$204.17	$338.84