Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.66 / $769.59 / $5,897.64	Facility		$68.66	$769.59	$5,897.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $336.27 / $2,389.00	Professional		$68.66	$336.27	$2,389.00
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 $154.29 / $516.98 / $1,819.79	Professional		$154.29	$516.98	$1,819.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.99 / $1,214.14 / $1,958.37	Facility		$1,038.99	$1,214.14	$1,958.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $684.09 / $1,380.91	Professional		$151.74	$684.09	$1,380.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $172.02 / $723.77	Facility		$73.66	$172.02	$723.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.03 / $591.51 / $1,789.00	Facility		$81.03	$591.51	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $552.42 / $1,402.88 / $2,210.65	Professional		$552.42	$1,402.88	$2,210.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $363.08 / $938.09	Professional		$85.00	$363.08	$938.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $172.02 / $723.77	Facility		$73.66	$172.02	$723.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.57 / $398.55 / $1,309.99	Professional		$185.57	$398.55	$1,309.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $613.65 / $613.65 / $613.65	Facility		$613.65	$613.65	$613.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.06 / $1,028.36 / $2,816.00	Professional		$155.06	$1,028.36	$2,816.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $290.38 / $885.30 / $1,649.33	Professional		$290.38	$885.30	$1,649.33
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 $521.52 / $1,244.76 / $2,026.90	Professional		$521.52	$1,244.76	$2,026.90