Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $183.82 / $1,894.00	Facility		$50.88	$183.82	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $141.13 / $269.67	Professional		$50.88	$141.13	$269.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $232.29 / $723.47	Professional		$91.28	$232.29	$723.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.32 / $486.50 / $784.71	Facility		$416.32	$486.50	$784.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $206.16 / $554.46	Professional		$91.68	$206.16	$554.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $105.99 / $226.05	Facility		$50.88	$105.99	$226.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $226.05 / $5,801.00	Facility		$55.01	$226.05	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $380.08 / $765.46	Professional		$146.22	$380.08	$765.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $154.33 / $338.03	Professional		$70.15	$154.33	$338.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.88 / $105.99 / $226.05	Facility		$50.88	$105.99	$226.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $209.98 / $507.01	Professional		$116.02	$209.98	$507.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $294.50 / $294.50 / $294.50	Facility		$294.50	$294.50	$294.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $422.92 / $1,140.40	Professional		$69.81	$422.92	$1,140.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $259.05 / $259.05 / $827.57	Professional		$259.05	$259.05	$827.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $296.23 / $554.33 / $922.56	Professional		$296.23	$554.33	$922.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.08 / $441.35 / $762.85	Professional		$161.08	$441.35	$762.85