Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $331.13	Professional		$158.49	$194.98	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $616.60	Facility		$371.54	$371.54	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $426.58	Professional		$346.74	$346.74	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,148.15 / $1,819.70	Facility		$229.09	$1,148.15	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $524.81 / $707.95	Professional		$194.98	$524.81	$707.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $302.00 / $457.09	Facility		$181.97	$302.00	$457.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $363.08 / $446.68	Professional		$208.93	$363.08	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $363.08 / $1,905.46	Facility		$186.21	$363.08	$1,905.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $416.87	Professional		$169.82	$245.47	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,148.15	Professional		$371.54	$562.34	$1,148.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $741.31 / $1,949.84	Facility		$229.09	$741.31	$1,949.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $407.38 / $2,454.71	Professional		$194.98	$407.38	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $288.40	Facility		$181.97	$245.47	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $309.03	Professional		$144.54	$186.21	$309.03