Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.03 / $216.79 / $14,482.00	Facility		$117.03	$216.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $117.03 / $319.17	Professional		$101.67	$117.03	$319.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $240.05 / $618.34	Professional		$105.08	$240.05	$618.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.33 / $315.91 / $484.61	Facility		$270.33	$315.91	$484.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $371.24 / $433.33	Professional		$141.69	$371.24	$433.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.58 / $147.11 / $556.65	Facility		$106.58	$147.11	$556.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.99 / $167.00 / $4,602.00	Facility		$105.99	$167.00	$4,602.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.73 / $268.50 / $2,856.41	Professional		$118.73	$268.50	$2,856.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $198.60 / $334.99	Professional		$70.00	$198.60	$334.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.58 / $147.11 / $556.65	Facility		$106.58	$147.11	$556.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $268.87 / $438.37	Professional		$201.60	$268.87	$438.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $2,250.75 / $2,250.75	Facility		$127.87	$2,250.75	$2,250.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.28 / $526.90 / $2,856.41	Professional		$190.28	$526.90	$2,856.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.89 / $389.89 / $389.89	Professional		$389.89	$389.89	$389.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.01 / $529.07 / $529.07	Professional		$389.01	$529.07	$529.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.62 / $214.02 / $475.53	Professional		$116.62	$214.02	$475.53