Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $223.52 / $1,894.00	Facility		$54.71	$223.52	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $112.20 / $459.64	Professional		$54.71	$112.20	$459.64
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 $92.02 / $200.78 / $473.81	Professional		$92.02	$200.78	$473.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.81 / $385.41 / $591.23	Facility		$329.81	$385.41	$591.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.60 / $156.19 / $362.80	Professional		$83.60	$156.19	$362.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.07 / $134.87 / $330.90	Facility		$61.07	$134.87	$330.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.89 / $167.50 / $3,593.00	Facility		$66.89	$167.50	$3,593.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $240.60 / $578.33	Professional		$122.81	$240.60	$578.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $219.68	Professional		$58.91	$95.42	$219.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.07 / $134.87 / $330.90	Facility		$61.07	$134.87	$330.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $217.71 / $400.40	Professional		$133.51	$217.71	$400.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.61 / $157.19 / $274.01	Facility		$117.61	$157.19	$274.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.09 / $306.14 / $915.44	Professional		$114.09	$306.14	$915.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $259.72 / $530.88	Professional		$170.52	$259.72	$530.88
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 $120.41 / $238.22 / $494.31	Professional		$120.41	$238.22	$494.31