Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.96 / $237.94 / $14,482.00	Facility		$117.96	$237.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.82 / $122.74 / $378.31	Professional		$110.82	$122.74	$378.31
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 $115.86 / $296.06 / $797.87	Professional		$115.86	$296.06	$797.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.27 / $348.55 / $562.20	Facility		$298.27	$348.55	$562.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.23 / $359.96 / $478.18	Professional		$172.23	$359.96	$478.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.36 / $126.90 / $227.36	Facility		$75.36	$126.90	$227.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.38 / $1,706.67 / $4,514.00	Facility		$108.38	$1,706.67	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.51 / $317.08 / $793.92	Professional		$136.51	$317.08	$793.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $156.09 / $239.36	Professional		$59.78	$156.09	$239.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.36 / $126.90 / $227.36	Facility		$75.36	$126.90	$227.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.60 / $345.27 / $478.14	Professional		$223.60	$345.27	$478.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $576.50 / $858.56	Professional		$160.41	$576.50	$858.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $597.72 / $597.72 / $597.72	Professional		$597.72	$597.72	$597.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $540.19 / $680.64 / $680.64	Professional		$540.19	$680.64	$680.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $351.86 / $562.24	Professional		$128.91	$351.86	$562.24