Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.89 / $205.20 / $14,482.00	Facility		$83.89	$205.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $120.86 / $298.52	Professional		$83.89	$120.86	$298.52
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 $127.49 / $271.58 / $556.53	Professional		$127.49	$271.58	$556.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.37 / $443.33 / $680.07	Facility		$379.37	$443.33	$680.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.36 / $207.98 / $420.51	Professional		$106.36	$207.98	$420.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.18 / $173.09 / $398.04	Facility		$100.18	$173.09	$398.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $251.98 / $1,565.18	Facility		$109.44	$251.98	$1,565.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $239.30 / $747.92	Professional		$132.68	$239.30	$747.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $125.82 / $297.51	Professional		$78.44	$125.82	$297.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.18 / $173.09 / $398.04	Facility		$100.18	$173.09	$398.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.52 / $331.03 / $475.99	Professional		$228.52	$331.03	$475.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $192.43 / $257.18 / $463.23	Facility		$192.43	$257.18	$463.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $500.50 / $1,072.00	Professional		$127.02	$500.50	$1,072.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.10 / $186.10 / $263.81	Professional		$186.10	$186.10	$263.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $201.84 / $423.92 / $615.34	Professional		$201.84	$423.92	$615.34
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 $131.16 / $222.06 / $516.64	Professional		$131.16	$222.06	$516.64