Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.80 / $126.45 / $503.42	Facility		$52.80	$126.45	$503.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.26 / $119.56 / $614.00	Professional		$53.26	$119.56	$614.00
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 $91.95 / $209.00 / $539.97	Professional		$91.95	$209.00	$539.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.96 / $437.01 / $670.38	Facility		$373.96	$437.01	$670.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $159.19 / $360.66	Professional		$68.48	$159.19	$360.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $150.65 / $372.48	Facility		$61.60	$150.65	$372.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.34 / $170.43 / $1,513.00	Facility		$67.34	$170.43	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $271.52 / $612.66	Professional		$116.43	$271.52	$612.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $126.96 / $290.37	Professional		$77.53	$126.96	$290.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $150.65 / $372.48	Facility		$61.60	$150.65	$372.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $237.13 / $447.11	Professional		$138.79	$237.13	$447.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $118.58 / $158.47 / $278.55	Facility		$118.58	$158.47	$278.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $318.85 / $1,032.32	Professional		$79.31	$318.85	$1,032.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $264.72 / $599.74	Professional		$145.94	$264.72	$599.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $217.58 / $580.16	Professional		$116.43	$217.58	$580.16