Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $445.70 / $14,482.00	Facility		$79.20	$445.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.02 / $202.17 / $363.66	Professional		$71.02	$202.17	$363.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.72 / $321.48 / $1,090.45	Professional		$106.72	$321.48	$1,090.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.73 / $684.47 / $1,049.99	Facility		$585.73	$684.47	$1,049.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $296.04 / $901.39	Professional		$120.65	$296.04	$901.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $212.70 / $425.89	Facility		$75.86	$212.70	$425.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $219.03 / $2,586.00	Facility		$75.98	$219.03	$2,586.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $224.02 / $692.26 / $1,907.03	Professional		$224.02	$692.26	$1,907.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $310.86 / $501.35	Professional		$85.00	$310.86	$501.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $211.18 / $425.89	Facility		$75.86	$211.18	$425.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $327.24 / $732.46	Professional		$162.06	$327.24	$732.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $122.40 / $423.00 / $2,776.25	Facility		$122.40	$423.00	$2,776.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $922.14 / $1,907.03	Professional		$149.91	$922.14	$1,907.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $505.91 / $1,100.63	Professional		$318.52	$505.91	$1,100.63
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 $206.07 / $432.08 / $887.34	Professional		$206.07	$432.08	$887.34