Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $59.61 / $14,482.00	Facility		$59.61	$59.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $61.49 / $112.37	Professional		$59.61	$61.49	$112.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.26 / $155.88 / $352.37	Professional		$92.26	$155.88	$352.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.54 / $186.98 / $186.98	Professional		$164.54	$186.98	$186.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $94.86 / $197.12	Facility		$59.61	$94.86	$197.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $130.47 / $1,789.00	Facility		$69.73	$130.47	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $191.41 / $771.44	Professional		$108.49	$191.41	$771.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $340.42	Professional		$50.00	$58.40	$340.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $94.86 / $197.12	Facility		$59.61	$94.86	$197.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.61 / $250.84 / $344.01	Professional		$173.61	$250.84	$344.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $481.38 / $481.38 / $481.38	Facility		$481.38	$481.38	$481.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $433.85 / $463.65 / $771.44	Professional		$433.85	$463.65	$771.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $200.54 / $464.15	Professional		$108.49	$200.54	$464.15