Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.02 / $1,894.00 / $17,823.00	Facility		$60.02	$1,894.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $59.18 / $75.06	Professional		$50.73	$59.18	$75.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $123.11 / $315.26	Professional		$52.15	$123.11	$315.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $169.54 / $260.08	Facility		$145.08	$169.54	$260.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $184.89 / $239.03	Professional		$63.00	$184.89	$239.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.76 / $70.80 / $108.94	Facility		$53.76	$70.80	$108.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $84.00 / $4,377.80	Facility		$52.82	$84.00	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $118.03 / $772.72	Professional		$57.38	$118.03	$772.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $148.83	Professional		$50.00	$70.00	$148.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $70.80 / $108.94	Facility		$52.82	$70.80	$108.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $131.47 / $196.26	Professional		$99.60	$131.47	$196.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $3,728.65 / $3,728.65	Facility		$62.14	$3,728.65	$3,728.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $261.14 / $772.72	Professional		$75.14	$261.14	$772.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $107.37 / $113.69 / $208.58	Professional		$107.37	$113.69	$208.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.99 / $119.08 / $235.69	Professional		$56.99	$119.08	$235.69