Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.84 / $109.84 / $14,482.00	Facility		$109.84	$109.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $163.46 / $224.28	Professional		$109.84	$163.46	$224.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.45 / $396.81 / $1,122.15	Professional		$230.45	$396.81	$1,122.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.83 / $502.30 / $810.18	Facility		$429.83	$502.30	$810.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.13 / $368.44 / $452.26	Professional		$181.13	$368.44	$452.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.84 / $179.60 / $274.60	Facility		$109.84	$179.60	$274.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $149.66 / $1,209.00 / $2,090.40	Facility		$149.66	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $308.56 / $708.32	Professional		$164.80	$308.56	$708.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.84 / $179.60 / $274.60	Facility		$109.84	$179.60	$274.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $205.01 / $377.78 / $524.70	Professional		$205.01	$377.78	$524.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $743.89 / $743.89 / $743.89	Facility		$743.89	$743.89	$743.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $749.66 / $1,308.32 / $1,308.32	Professional		$749.66	$1,308.32	$1,308.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $737.83 / $737.83 / $737.83	Professional		$737.83	$737.83	$737.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $952.71 / $1,564.35 / $1,564.35	Professional		$952.71	$1,564.35	$1,564.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $179.78 / $302.64 / $608.55	Professional		$179.78	$302.64	$608.55