Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $269.15 / $724.44	Facility		$66.07	$269.15	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $199.53	Professional		$57.54	$67.61	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $223.87	Facility		$134.90	$134.90	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $199.53	Professional		$125.89	$134.90	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $309.03 / $660.69	Facility		$104.71	$309.03	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $190.55 / $257.04	Professional		$89.13	$190.55	$257.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $109.65 / $165.96	Facility		$64.57	$109.65	$165.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $316.23	Professional		$120.23	$251.19	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $131.83 / $616.60	Facility		$66.07	$131.83	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $147.91	Professional		$58.88	$79.43	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $104.71	Professional		$54.95	$70.79	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $371.54	Professional		$134.90	$199.53	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $269.15 / $616.60	Facility		$104.71	$269.15	$616.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $660.69	Professional		$89.13	$165.96	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $89.13 / $190.55	Facility		$77.62	$89.13	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $112.20	Professional		$48.98	$66.07	$112.20