Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.03 / $365.45 / $14,482.00	Facility		$122.03	$365.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $162.16 / $321.16	Professional		$104.66	$162.16	$321.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.11 / $342.52 / $936.32	Professional		$141.11	$342.52	$936.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $475.79 / $556.00 / $852.92	Facility		$475.79	$556.00	$852.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.75 / $360.75 / $738.03	Professional		$149.75	$360.75	$738.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.30 / $171.14 / $292.36	Facility		$106.30	$171.14	$292.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $178.66 / $1,124.00	Facility		$106.52	$178.66	$1,124.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.07 / $572.88 / $1,315.68	Professional		$177.07	$572.88	$1,315.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $244.79 / $439.36	Professional		$85.00	$244.79	$439.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.30 / $173.96 / $292.36	Facility		$106.30	$173.96	$292.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.21 / $387.79 / $599.60	Professional		$239.21	$387.79	$599.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $183.19 / $496.55 / $1,300.00	Facility		$183.19	$496.55	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.59 / $755.01 / $1,315.68	Professional		$174.59	$755.01	$1,315.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.14 / $402.14 / $665.08	Professional		$402.14	$402.14	$665.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $413.45 / $571.08 / $901.12	Professional		$413.45	$571.08	$901.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $320.60 / $785.04	Professional		$169.71	$320.60	$785.04