Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $356.17 / $3,097.51	Facility		$85.61	$356.17	$3,097.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.26 / $96.43 / $495.00	Professional		$35.26	$96.43	$495.00
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 $76.37 / $180.98 / $454.13	Professional		$76.37	$180.98	$454.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.52 / $313.80 / $506.15	Facility		$268.52	$313.80	$506.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $172.65 / $371.91	Professional		$78.39	$172.65	$371.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $86.83 / $190.96	Facility		$35.26	$86.83	$190.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.86 / $149.09 / $3,995.00	Facility		$41.86	$149.09	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $298.76 / $512.58	Professional		$113.16	$298.76	$512.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $126.13 / $250.69	Professional		$58.40	$126.13	$250.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $83.01 / $190.96	Facility		$35.26	$83.01	$190.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.94 / $172.35 / $327.14	Professional		$96.94	$172.35	$327.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.92 / $194.92 / $194.92	Facility		$194.92	$194.92	$194.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $426.60 / $743.68	Professional		$79.78	$426.60	$743.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $176.33 / $431.56	Professional		$147.47	$176.33	$431.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $298.38 / $438.12	Professional		$123.24	$298.38	$438.12