Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $112.23 / $1,894.00	Facility		$32.00	$112.23	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $99.05 / $192.32	Professional		$30.57	$99.05	$192.32
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 $54.70 / $152.81 / $547.35	Professional		$54.70	$152.81	$547.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.94 / $320.12 / $516.34	Facility		$273.94	$320.12	$516.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $128.05 / $417.75	Professional		$55.58	$128.05	$417.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $98.25 / $212.01	Facility		$32.00	$98.25	$212.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $166.52 / $1,789.00	Facility		$33.35	$166.52	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $344.42 / $747.00	Professional		$98.66	$344.42	$747.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $112.00 / $262.02	Professional		$58.04	$112.00	$262.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $98.25 / $212.01	Facility		$32.00	$98.25	$212.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $151.15 / $355.87	Professional		$69.45	$151.15	$355.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $208.50 / $208.50 / $208.50	Facility		$208.50	$208.50	$208.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $427.37 / $820.59	Professional		$45.26	$427.37	$820.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $102.90 / $372.06	Professional		$102.90	$102.90	$372.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $149.06 / $201.32 / $510.07	Professional		$149.06	$201.32	$510.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $301.58 / $501.03	Professional		$100.97	$301.58	$501.03