Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.90 / $339.10 / $14,482.00	Facility		$138.90	$339.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $149.44 / $493.97	Professional		$137.80	$149.44	$493.97
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 $163.63 / $353.82 / $738.39	Professional		$163.63	$353.82	$738.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.92 / $490.71 / $752.76	Facility		$419.92	$490.71	$752.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.27 / $363.78 / $479.53	Professional		$191.27	$363.78	$479.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $150.71 / $256.30 / $511.32	Facility		$150.71	$256.30	$511.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.27 / $500.88 / $1,789.00	Facility		$165.27	$500.88	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.97 / $341.35 / $940.21	Professional		$179.97	$341.35	$940.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $203.55 / $457.31	Professional		$118.30	$203.55	$457.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $150.71 / $256.30 / $511.32	Facility		$150.71	$256.30	$511.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.16 / $416.90 / $591.65	Professional		$325.16	$416.90	$591.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $410.72 / $2,000.00 / $2,000.00	Facility		$410.72	$2,000.00	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.74 / $701.88 / $2,475.00	Professional		$269.74	$701.88	$2,475.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $306.67 / $306.67 / $306.67	Professional		$306.67	$306.67	$306.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $693.26 / $701.70	Professional		$318.45	$693.26	$701.70
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 $172.48 / $328.22 / $681.06	Professional		$172.48	$328.22	$681.06