Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.02 / $299.18 / $762.70	Facility		$175.02	$299.18	$762.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.71 / $226.45 / $834.21	Professional		$121.71	$226.45	$834.21
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 $162.02 / $322.52 / $733.60	Professional		$162.02	$322.52	$733.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.11 / $669.73 / $1,080.25	Facility		$573.11	$669.73	$1,080.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.15 / $422.16 / $745.31	Professional		$223.15	$422.16	$745.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.57 / $209.22 / $408.93	Facility		$111.57	$209.22	$408.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.88 / $299.63 / $1,778.00	Facility		$133.88	$299.63	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.81 / $634.83 / $1,305.81	Professional		$220.81	$634.83	$1,305.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.06 / $278.76 / $439.74	Professional		$99.06	$278.76	$439.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.04 / $209.22 / $408.93	Facility		$72.04	$209.22	$408.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $432.72 / $697.00	Professional		$279.14	$432.72	$697.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $554.07 / $554.07 / $554.07	Facility		$554.07	$554.07	$554.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $900.86 / $1,560.64	Professional		$173.93	$900.86	$1,560.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $261.54 / $746.40 / $1,280.05	Professional		$261.54	$746.40	$1,280.05
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 $213.78 / $587.74 / $822.52	Professional		$213.78	$587.74	$822.52