Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.97 / $143.82 / $1,894.00	Facility		$58.97	$143.82	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $98.61 / $416.54	Professional		$58.97	$98.61	$416.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $213.87 / $460.18	Professional		$102.70	$213.87	$460.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.38 / $358.03 / $549.23	Facility		$306.38	$358.03	$549.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $179.21 / $319.20	Professional		$84.48	$179.21	$319.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $134.52 / $315.27	Facility		$70.31	$134.52	$315.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.70 / $191.22 / $1,590.00	Facility		$76.70	$191.22	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $230.02 / $525.44	Professional		$107.00	$230.02	$525.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $95.42 / $221.50	Professional		$58.91	$95.42	$221.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $134.52 / $315.27	Facility		$70.31	$134.52	$315.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.82 / $240.58 / $375.38	Professional		$159.82	$240.58	$375.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.87 / $180.25 / $323.95	Facility		$134.87	$180.25	$323.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $350.65 / $859.36	Professional		$127.65	$350.65	$859.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $160.52 / $298.00 / $495.24	Professional		$160.52	$298.00	$495.24
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 $99.05 / $171.10 / $439.58	Professional		$99.05	$171.10	$439.58