Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $236.05 / $1,894.00	Facility		$45.97	$236.05	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $105.66 / $201.00	Professional		$45.97	$105.66	$201.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $244.13 / $244.13 / $622.95	Professional	50	$244.13	$244.13	$622.95
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 $68.61 / $181.78 / $611.03	Professional		$68.61	$181.78	$611.03
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $102.91 / $276.30 / $936.64	Professional	50	$102.91	$276.30	$936.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.18 / $360.14 / $580.89	Facility		$308.18	$360.14	$580.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $203.30 / $464.19	Professional		$70.70	$203.30	$464.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $71.90 / $225.56	Facility		$36.40	$71.90	$225.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $195.52 / $1,789.00	Facility		$41.68	$195.52	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $372.56 / $616.79	Professional		$133.44	$372.56	$616.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $187.82 / $338.03	Professional		$75.52	$187.82	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $71.90 / $225.56	Facility		$36.40	$71.90	$225.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $161.37 / $392.92	Professional		$87.78	$161.37	$392.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $217.87 / $217.87 / $217.87	Facility		$217.87	$217.87	$217.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $441.21 / $847.68	Professional		$69.27	$441.21	$847.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $249.42 / $482.76 / $802.26	Professional		$249.42	$482.76	$802.26
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $360.42 / $496.04	Professional		$125.53	$360.42	$496.04