Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $163.25 / $1,894.00	Facility		$54.89	$163.25	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $95.85 / $229.98	Professional		$47.11	$95.85	$229.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $188.44 / $587.35	Professional		$78.80	$188.44	$587.35
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 $87.69 / $214.73 / $462.83	Professional		$87.69	$214.73	$462.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.78 / $88.47 / $224.63	Facility		$44.78	$88.47	$224.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.91 / $224.63 / $4,195.00	Facility		$49.91	$224.63	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $420.92 / $713.83	Professional		$141.83	$420.92	$713.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $153.29 / $338.03	Professional		$70.00	$153.29	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.78 / $88.47 / $224.63	Facility		$44.78	$88.47	$224.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.72 / $192.82 / $388.38	Professional		$104.72	$192.82	$388.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.10 / $213.10 / $213.10	Facility		$213.10	$213.10	$213.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $487.67 / $1,116.44	Professional		$84.77	$487.67	$1,116.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $252.32 / $555.42 / $803.76	Professional		$252.32	$555.42	$803.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.83 / $420.65 / $604.89	Professional		$141.83	$420.65	$604.89