Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.80 / $435.93 / $3,119.00	Facility		$142.80	$435.93	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $215.02 / $551.04	Professional		$122.96	$215.02	$551.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.89 / $518.01 / $1,462.78	Professional		$216.89	$518.01	$1,462.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $729.91 / $852.95 / $1,375.79	Facility		$729.91	$852.95	$1,375.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.79 / $413.70 / $954.54	Professional		$194.79	$413.70	$954.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $130.44 / $269.39 / $553.58	Facility		$130.44	$269.39	$553.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.15 / $395.69 / $5,261.00	Facility		$139.15	$395.69	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $274.08 / $885.51 / $1,837.40	Professional		$274.08	$885.51	$1,837.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $305.25 / $671.58	Professional		$85.00	$305.25	$671.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $130.44 / $269.39 / $553.58	Facility		$130.44	$269.39	$553.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.55 / $494.48 / $947.02	Professional		$275.55	$494.48	$947.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $977.27 / $977.27 / $977.27	Facility		$977.27	$977.27	$977.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $182.13 / $1,153.76 / $2,006.48	Professional		$182.13	$1,153.76	$2,006.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $309.48 / $710.52 / $1,639.30	Professional		$309.48	$710.52	$1,639.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,409.38 / $5,865.00	Facility		$2,960.00	$4,409.38	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.26 / $781.27 / $1,157.36	Professional		$267.26	$781.27	$1,157.36