Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.91 / $248.06 / $2,930.40	Facility		$64.91	$248.06	$2,930.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $143.08 / $346.80	Professional		$57.21	$143.08	$346.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.81 / $291.39 / $792.17	Professional		$120.81	$291.39	$792.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.13 / $499.14 / $805.09	Facility		$427.13	$499.14	$805.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.09 / $281.99 / $566.40	Professional		$128.09	$281.99	$566.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.91 / $133.00 / $313.36	Facility		$64.91	$133.00	$313.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $245.31 / $4,142.85	Facility		$68.05	$245.31	$4,142.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.94 / $436.05 / $937.44	Professional		$187.94	$436.05	$937.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $176.90 / $338.03	Professional		$77.22	$176.90	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.91 / $133.00 / $313.36	Facility		$64.91	$133.00	$313.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $296.76 / $558.04	Professional		$153.41	$296.76	$558.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $469.02 / $469.02 / $469.02	Facility		$469.02	$469.02	$469.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.84 / $674.96 / $6,897.85	Professional		$129.84	$674.96	$6,897.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $274.05 / $369.47 / $879.28	Professional		$274.05	$369.47	$879.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.44 / $435.33 / $707.77	Professional		$188.44	$435.33	$707.77