Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.30 / $781.74 / $3,119.00	Facility		$182.30	$781.74	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $326.99 / $821.37	Professional		$182.30	$326.99	$821.37
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 $317.49 / $649.57 / $1,467.76	Professional		$317.49	$649.57	$1,467.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.87 / $1,194.14 / $1,831.84	Facility		$1,021.87	$1,194.14	$1,831.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.42 / $558.79 / $987.87	Professional		$248.42	$558.79	$987.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $217.93 / $440.81 / $1,028.52	Facility		$217.93	$440.81	$1,028.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.08 / $594.39 / $1,540.74	Facility		$236.08	$594.39	$1,540.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.85 / $693.36 / $1,630.24	Professional		$340.85	$693.36	$1,630.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $282.77 / $749.24	Professional		$29.98	$282.77	$749.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $217.93 / $440.81 / $1,028.52	Facility		$217.93	$440.81	$1,028.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $483.51 / $745.34 / $1,233.25	Professional		$483.51	$745.34	$1,233.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $421.54 / $563.38 / $1,540.74	Facility		$421.54	$563.38	$1,540.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $388.24 / $1,058.50 / $2,838.24	Professional		$388.24	$1,058.50	$2,838.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $481.72 / $929.16 / $1,642.71	Professional		$481.72	$929.16	$1,642.71
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 $339.34 / $582.46 / $1,380.85	Professional		$339.34	$582.46	$1,380.85