Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.28 / $77.29 / $1,894.00	Facility		$24.28	$77.29	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $74.73 / $160.52	Professional		$24.28	$74.73	$160.52
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 $46.37 / $111.31 / $314.97	Professional		$46.37	$111.31	$314.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $76.54 / $174.06 / $472.45	Professional	50	$76.54	$174.06	$472.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.01 / $287.48 / $441.00	Facility		$246.01	$287.48	$441.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $78.91 / $236.04	Professional		$32.36	$78.91	$236.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $80.31 / $241.20	Facility		$28.69	$80.31	$241.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $98.93 / $1,513.00	Facility		$31.32	$98.93	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $127.56 / $373.00	Professional		$65.73	$127.56	$373.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $94.25 / $218.92	Professional		$58.42	$94.25	$218.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $80.31 / $241.20	Facility		$28.69	$80.31	$241.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $120.02 / $287.76	Professional		$63.36	$120.02	$287.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.07 / $73.59 / $162.55	Facility		$55.07	$73.59	$162.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $145.90 / $673.04	Professional		$36.78	$145.90	$673.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $122.78 / $392.50	Professional		$65.73	$122.78	$392.50
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 $64.90 / $119.98 / $296.93	Professional		$64.90	$119.98	$296.93