Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.99 / $639.44 / $2,536.30	Facility		$146.99	$639.44	$2,536.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.99 / $337.52 / $946.05	Professional		$146.99	$337.52	$946.05
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 $263.91 / $587.82 / $1,468.65	Professional		$263.91	$587.82	$1,468.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,070.53 / $1,251.00 / $1,919.07	Facility		$1,070.53	$1,251.00	$1,919.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.34 / $446.38 / $1,032.61	Professional		$182.34	$446.38	$1,032.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $436.90 / $1,074.90	Facility		$172.22	$436.90	$1,074.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.85 / $490.56 / $1,590.00	Facility		$185.85	$490.56	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $364.08 / $719.86 / $1,617.98	Professional		$364.08	$719.86	$1,617.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $212.67 / $349.34 / $799.67	Professional		$212.67	$349.34	$799.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $172.22 / $436.90 / $1,074.90	Facility		$172.22	$436.90	$1,074.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.08 / $686.98 / $1,278.69	Professional		$389.08	$686.98	$1,278.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $336.46 / $449.68 / $788.72	Facility		$336.46	$449.68	$788.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.39 / $876.70 / $2,945.68	Professional		$222.39	$876.70	$2,945.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $405.67 / $742.24 / $1,713.93	Professional		$405.67	$742.24	$1,713.93
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 $348.30 / $595.05 / $1,423.52	Professional		$348.30	$595.05	$1,423.52