Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $101.68 / $14,482.00	Facility		$101.68	$101.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.68 / $158.07 / $260.95	Professional		$101.68	$158.07	$260.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.94 / $375.42 / $821.27	Professional		$183.94	$375.42	$821.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.94 / $267.11 / $470.61	Professional		$251.94	$267.11	$470.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $192.06 / $480.96	Facility		$101.68	$192.06	$480.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.97 / $547.98 / $7,700.00	Facility		$118.97	$547.98	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $285.38 / $717.32	Professional		$191.26	$285.38	$717.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.68 / $192.06 / $480.96	Facility		$101.68	$192.06	$480.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $274.32 / $400.71 / $558.79	Professional		$274.32	$400.71	$558.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $309.10 / $769.02 / $769.02	Facility		$309.10	$769.02	$769.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.61 / $695.48 / $1,236.56	Professional		$470.61	$695.48	$1,236.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.43 / $286.12 / $696.71	Professional		$180.43	$286.12	$696.71