Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.79 / $484.45 / $3,119.00	Facility		$159.79	$484.45	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.37 / $229.44 / $577.05	Professional		$137.37	$229.44	$577.05
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 $241.63 / $540.99 / $1,433.77	Professional		$241.63	$540.99	$1,433.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $733.51 / $857.17 / $1,382.58	Facility		$733.51	$857.17	$1,382.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.31 / $459.28 / $962.14	Professional		$216.31	$459.28	$962.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $310.05 / $555.52	Facility		$154.63	$310.05	$555.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.79 / $512.37 / $1,778.00	Facility		$159.79	$512.37	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $917.86 / $2,098.00	Professional		$290.08	$917.86	$2,098.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $326.15 / $676.07	Professional		$85.00	$326.15	$676.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $154.63 / $295.79 / $555.52	Facility		$154.63	$295.79	$555.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.85 / $525.20 / $955.30	Professional		$306.85	$525.20	$955.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,087.73 / $1,087.73 / $1,087.73	Facility		$1,087.73	$1,087.73	$1,087.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $201.94 / $1,162.94 / $2,323.10	Professional		$201.94	$1,162.94	$2,323.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.79 / $323.79 / $679.02	Professional		$323.79	$323.79	$679.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $677.60 / $788.78 / $1,652.43	Professional		$677.60	$788.78	$1,652.43
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 $289.66 / $917.86 / $1,199.66	Professional		$289.66	$917.86	$1,199.66