Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.78 / $452.97 / $1,894.00	Facility		$148.78	$452.97	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $262.27 / $546.67	Professional		$130.13	$262.27	$546.67
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 $166.97 / $339.91 / $707.46	Professional		$166.97	$339.91	$707.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.41 / $858.22 / $1,384.28	Facility		$734.41	$858.22	$1,384.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.18 / $432.01 / $956.21	Professional		$203.18	$432.01	$956.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.18 / $242.86 / $513.99	Facility		$118.18	$242.86	$513.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.55 / $335.45 / $1,778.00	Facility		$135.55	$335.45	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.66 / $841.49 / $1,746.07	Professional		$267.66	$841.49	$1,746.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $183.38 / $495.53	Professional		$30.95	$183.38	$495.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $242.86 / $513.99	Facility		$114.61	$242.86	$513.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $283.95 / $514.79 / $901.11	Professional		$283.95	$514.79	$901.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $871.62 / $871.62 / $871.62	Facility		$871.62	$871.62	$871.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $189.90 / $1,022.69 / $2,003.76	Professional		$189.90	$1,022.69	$2,003.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $292.31 / $741.91 / $1,642.23	Professional		$292.31	$741.91	$1,642.23
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 $256.18 / $757.83 / $1,099.83	Professional		$256.18	$757.83	$1,099.83