Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $61.88 / $14,482.00	Facility		$41.16	$61.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.16 / $89.15 / $400.00	Professional		$41.16	$89.15	$400.00
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 $98.15 / $190.39 / $412.25	Professional		$98.15	$190.39	$412.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.63 / $312.75 / $479.77	Facility		$267.63	$312.75	$479.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $196.03 / $297.10	Professional		$74.16	$196.03	$297.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.32 / $110.12 / $273.18	Facility		$62.32	$110.12	$273.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $183.36 / $1,642.00	Facility		$65.26	$183.36	$1,642.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $197.09 / $502.24	Professional		$103.61	$197.09	$502.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $92.31 / $207.38	Professional		$58.42	$92.31	$207.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.32 / $110.12 / $273.18	Facility		$62.32	$110.12	$273.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $212.40 / $323.61	Professional		$126.79	$212.40	$323.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.96 / $172.36 / $296.70	Facility		$128.96	$172.36	$296.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $283.55 / $502.24 / $752.64	Professional		$283.55	$502.24	$752.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $127.44 / $192.41	Professional		$127.44	$127.44	$192.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.37 / $286.83 / $434.75	Professional		$185.37	$286.83	$434.75
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $167.22 / $389.06	Professional		$98.63	$167.22	$389.06