Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $562.34 / $1,202.26	Facility		$338.84	$562.34	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $346.74	Professional		$208.93	$316.23	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $134.90	Professional		$60.26	$60.26	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $398.11 / $630.96	Facility		$338.84	$398.11	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $177.83	Professional		$117.49	$147.91	$177.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $316.23 / $346.74	Facility		$208.93	$316.23	$346.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $1,071.52	Professional		$724.44	$812.83	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $316.23 / $575.44	Facility		$208.93	$316.23	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $446.68	Professional		$32.36	$58.88	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $316.23	Professional		$269.15	$269.15	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $630.96	Facility		$478.63	$478.63	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $128.82 / $269.15	Professional		$46.77	$128.82	$269.15