Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.30 / $66.30 / $17,823.00	Facility		$66.30	$66.30	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $98.65 / $106.93	Professional		$66.30	$98.65	$106.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $204.00 / $490.11	Professional		$102.00	$204.00	$490.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.99 / $362.24 / $555.69	Facility		$309.99	$362.24	$555.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $292.24 / $413.14	Professional		$129.84	$292.24	$413.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $86.82 / $111.13 / $254.97	Facility		$86.82	$111.13	$254.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.13 / $5,831.69 / $8,783.00	Facility		$111.13	$5,831.69	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.13 / $217.38 / $476.33	Professional		$127.13	$217.38	$476.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $108.01 / $108.01	Professional		$108.01	$108.01	$108.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $86.82 / $111.13 / $254.97	Facility		$86.82	$111.13	$254.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $268.41 / $382.80	Professional		$177.86	$268.41	$382.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $428.02 / $428.02 / $532.49	Professional		$428.02	$428.02	$532.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $907.44 / $907.44 / $1,128.92	Professional		$907.44	$907.44	$1,128.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $217.38 / $476.33	Professional		$125.00	$217.38	$476.33