Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $263.13 / $5,290.12	Facility		$134.44	$263.13	$5,290.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.87 / $172.53 / $363.17	Professional		$97.87	$172.53	$363.17
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 $150.88 / $299.22 / $635.55	Professional		$150.88	$299.22	$635.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $244.20 / $456.18 / $953.34	Professional	50	$244.20	$456.18	$953.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $504.63 / $589.70 / $951.16	Facility		$504.63	$589.70	$951.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.27 / $390.50 / $658.56	Professional		$181.27	$390.50	$658.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.44 / $187.25 / $365.99	Facility		$102.44	$187.25	$365.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.93 / $247.00 / $1,778.00	Facility		$122.93	$247.00	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.56 / $604.51 / $1,246.55	Professional		$204.56	$604.51	$1,246.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $223.50 / $368.77	Professional		$84.56	$223.50	$368.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $88.11 / $187.25 / $365.99	Facility		$88.11	$187.25	$365.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.27 / $410.56 / $656.18	Professional		$256.27	$410.56	$656.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $785.88 / $785.88 / $785.88	Facility		$785.88	$785.88	$785.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.29 / $796.01 / $1,382.56	Professional		$156.29	$796.01	$1,382.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $260.61 / $670.67 / $1,131.00	Professional		$260.61	$670.67	$1,131.00
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 $204.56 / $621.95 / $769.83	Professional		$204.56	$621.95	$769.83