Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $1,894.00 / $14,482.00	Facility		$151.75	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $156.91 / $244.84	Professional		$151.75	$156.91	$244.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.29 / $525.73 / $1,032.01	Professional		$264.29	$525.73	$1,032.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.48 / $473.10 / $537.61	Professional		$333.48	$473.10	$537.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $206.80 / $347.35	Facility		$151.75	$206.80	$347.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.55 / $1,209.00 / $2,090.40	Facility		$177.55	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.93 / $549.38 / $1,005.92	Professional		$215.93	$549.38	$1,005.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $955.34	Professional		$50.00	$70.00	$955.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $206.80 / $347.35	Facility		$151.75	$206.80	$347.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $235.10 / $431.47 / $621.16	Professional		$235.10	$431.47	$621.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $828.08 / $828.08 / $828.08	Facility		$828.08	$828.08	$828.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.04 / $830.50 / $1,348.00	Professional		$347.04	$830.50	$1,348.00
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 $215.93 / $556.44 / $806.48	Professional		$215.93	$556.44	$806.48