Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $34.65 / $1,894.00	Facility		$15.39	$34.65	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $32.70 / $161.13	Professional		$15.39	$32.70	$161.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $55.17 / $128.35	Professional		$25.88	$55.17	$128.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $103.20 / $158.31	Facility		$88.31	$103.20	$158.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $41.93 / $97.88	Professional		$19.09	$41.93	$97.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $38.72 / $90.27	Facility		$17.39	$38.72	$90.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $46.35 / $1,513.00	Facility		$18.48	$46.35	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $65.12 / $163.00	Professional		$34.29	$65.12	$163.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.89 / $72.74	Professional		$19.34	$33.89	$72.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.39 / $38.72 / $90.27	Facility		$17.39	$38.72	$90.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $58.80 / $106.02	Professional		$37.34	$58.80	$106.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $43.43 / $75.68	Facility		$32.49	$43.43	$75.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $85.75 / $247.44	Professional		$21.62	$85.75	$247.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $72.15 / $143.19	Professional		$39.17	$72.15	$143.19
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 $32.27 / $61.88 / $122.83	Professional		$32.27	$61.88	$122.83