Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.13 / $120.13 / $14,482.00	Facility		$120.13	$120.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $124.12 / $196.57	Professional		$91.63	$124.12	$196.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.81 / $302.88 / $712.39	Professional		$184.81	$302.88	$712.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.58 / $643.40 / $986.99	Facility		$550.58	$643.40	$986.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $326.83 / $371.41	Professional		$231.75	$326.83	$371.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.13 / $191.65 / $431.21	Facility		$120.13	$191.65	$431.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $300.33 / $3,995.00	Facility		$140.55	$300.33	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.98 / $385.47 / $1,535.04	Professional		$213.98	$385.47	$1,535.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $680.88	Professional		$50.00	$58.40	$680.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $120.13 / $191.65 / $431.21	Facility		$120.13	$191.65	$431.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.20 / $497.73 / $682.62	Professional		$347.20	$497.73	$682.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $982.04 / $982.04 / $2,710.90	Facility		$982.04	$982.04	$2,710.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $863.24 / $927.30 / $1,535.04	Professional		$863.24	$927.30	$1,535.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $657.47 / $657.47 / $657.47	Professional		$657.47	$657.47	$657.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $796.14 / $1,325.45 / $1,325.45	Professional		$796.14	$1,325.45	$1,325.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.98 / $385.47 / $920.02	Professional		$213.98	$385.47	$920.02