Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.36 / $474.10 / $1,894.00	Facility		$125.36	$474.10	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.36 / $195.85 / $509.98	Professional		$125.36	$195.85	$509.98
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 $199.88 / $440.10 / $896.59	Professional		$199.88	$440.10	$896.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.37 / $720.27 / $1,104.92	Facility		$616.37	$720.27	$1,104.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $318.07 / $677.24	Professional		$153.97	$318.07	$677.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $273.92 / $620.76	Facility		$146.66	$273.92	$620.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.88 / $406.08 / $3,593.00	Facility		$157.88	$406.08	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $211.38 / $441.98 / $1,110.48	Professional		$211.38	$441.98	$1,110.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.44 / $216.72 / $492.74	Professional		$123.44	$216.72	$492.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $273.92 / $620.76	Facility		$146.66	$273.92	$620.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $328.87 / $497.20 / $745.36	Professional		$328.87	$497.20	$745.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $289.81 / $387.33 / $684.26	Facility		$289.81	$387.33	$684.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.90 / $720.95 / $1,709.52	Professional		$190.90	$720.95	$1,709.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $637.14 / $990.99	Professional		$325.16	$637.14	$990.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.93 / $345.03 / $882.97	Professional		$200.93	$345.03	$882.97