Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.05 / $307.39 / $14,482.00	Facility		$187.05	$307.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.67 / $187.05 / $234.27	Professional		$109.67	$187.05	$234.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,532.89 / $11,448.40	Facility		$5,169.00	$7,532.89	$11,448.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.85 / $376.62 / $1,044.14	Professional		$151.85	$376.62	$1,044.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.88 / $448.59 / $723.56	Facility		$383.88	$448.59	$723.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $463.62 / $615.78	Professional		$259.58	$463.62	$615.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $150.28 / $234.27 / $293.73	Facility		$150.28	$234.27	$293.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.72 / $3,364.00 / $7,868.00	Facility		$172.72	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $518.02 / $864.42	Professional		$185.46	$518.02	$864.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $181.94 / $411.00	Professional		$85.00	$181.94	$411.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $150.28 / $234.27 / $293.73	Facility		$150.28	$234.27	$293.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.75 / $399.26 / $559.23	Professional		$241.75	$399.26	$559.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $725.08 / $725.08 / $725.08	Facility		$725.08	$725.08	$725.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $630.32 / $1,139.76	Professional		$266.13	$630.32	$1,139.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $790.49 / $790.49 / $790.49	Professional		$790.49	$790.49	$790.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.85 / $1,038.85 / $1,038.85	Professional		$1,038.85	$1,038.85	$1,038.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $573.07 / $787.34	Professional		$185.46	$573.07	$787.34