Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $241.97 / $14,482.00	Facility		$44.95	$241.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.78 / $117.52 / $205.95	Professional		$38.78	$117.52	$205.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,425.00 / $4,433.00	Facility		$1,139.00	$2,425.00	$4,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $168.63 / $565.32	Professional		$63.07	$168.63	$565.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.70 / $375.93 / $499.64	Facility		$321.70	$375.93	$499.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $133.04 / $423.85	Professional		$64.02	$133.04	$423.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $107.09 / $220.56	Facility		$41.38	$107.09	$220.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $145.59 / $1,455.00	Facility		$41.68	$145.59	$1,455.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $431.03 / $878.88	Professional		$136.43	$431.03	$878.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $125.21 / $315.53	Professional		$75.52	$125.21	$315.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $107.09 / $224.76	Facility		$41.38	$107.09	$224.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $163.28 / $395.19	Professional		$79.95	$163.28	$395.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $90.27 / $297.69 / $297.69	Facility		$90.27	$297.69	$297.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $442.72 / $878.88	Professional		$93.35	$442.72	$878.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $187.14 / $335.54 / $835.81	Professional		$187.14	$335.54	$835.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $257.04 / $528.16	Professional		$136.43	$257.04	$528.16