Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.38 / $329.38 / $3,119.00	Facility		$76.38	$329.38	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $148.01 / $492.52	Professional		$76.38	$148.01	$492.52
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 $137.13 / $284.41 / $658.70	Professional		$137.13	$284.41	$658.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.27 / $540.20 / $828.69	Facility		$462.27	$540.20	$828.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.94 / $252.78 / $512.08	Professional		$113.94	$252.78	$512.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $195.20 / $486.51	Facility		$92.31	$195.20	$486.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.57 / $265.48 / $1,513.00	Facility		$98.57	$265.48	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $327.56 / $710.67	Professional		$162.72	$327.56	$710.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $159.30 / $366.38	Professional		$97.44	$159.30	$366.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $92.31 / $195.20 / $486.51	Facility		$92.31	$195.20	$486.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $210.60 / $320.24 / $574.44	Professional		$210.60	$320.24	$574.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.32 / $231.63 / $654.00	Facility		$173.32	$231.63	$654.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.04 / $454.60 / $1,344.11	Professional		$165.04	$454.60	$1,344.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $385.33 / $749.32	Professional		$204.68	$385.33	$749.32
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 $155.49 / $327.56 / $672.96	Professional		$155.49	$327.56	$672.96