Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.96 / $380.19	Facility		$8.91	$10.96	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $21.88	Professional		$8.91	$8.91	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $23.99	Professional		$5.01	$5.01	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $251.19	Facility		$134.90	$158.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $194.98	Professional		$58.88	$72.44	$194.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $95.50	Facility		$9.55	$9.55	$95.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $199.53	Professional		$134.90	$151.36	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $95.50	Facility		$9.55	$9.55	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $245.47	Facility		$186.21	$186.21	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $56.23	Professional		$26.92	$31.62	$56.23