Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.61 / $106.61 / $14,482.00	Facility		$106.61	$106.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $110.33 / $174.62	Professional		$100.80	$110.33	$174.62
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 $164.92 / $271.19 / $636.52	Professional		$164.92	$271.19	$636.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.83 / $587.59 / $901.38	Facility		$502.83	$587.59	$901.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.88 / $298.20 / $338.86	Professional		$211.88	$298.20	$338.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.61 / $174.85 / $393.41	Facility		$106.61	$174.85	$393.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.73 / $266.52 / $3,995.00	Facility		$124.73	$266.52	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.88 / $345.15 / $1,385.12	Professional		$191.88	$345.15	$1,385.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $610.20	Professional		$50.00	$58.40	$610.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.61 / $174.85 / $393.41	Facility		$106.61	$174.85	$393.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $449.62 / $616.63	Professional		$310.97	$449.62	$616.63
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 $779.09 / $828.70 / $1,385.12	Professional		$779.09	$828.70	$1,385.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $599.84 / $599.84 / $599.84	Professional		$599.84	$599.84	$599.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $726.37 / $1,209.26 / $1,209.26	Professional		$726.37	$1,209.26	$1,209.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.37 / $373.14 / $1,039.46	Professional		$197.37	$373.14	$1,039.46