Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $425.36 / $1,440.62	Facility		$88.27	$425.36	$1,440.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $22.07 / $78.66 / $379.05	Facility	52	$22.07	$78.66	$379.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $199.53 / $626.33	Professional		$42.52	$199.53	$626.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $234.37 / $946.18	Professional		$69.06	$234.37	$946.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.11 / $669.73 / $890.12	Facility		$573.11	$669.73	$890.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $164.75 / $758.99	Professional		$58.45	$164.75	$758.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $123.81 / $369.57	Facility		$44.20	$123.81	$369.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.53 / $226.50 / $1,449.00	Facility		$45.53	$226.50	$1,449.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $228.34 / $228.34 / $228.34	Facility	52	$228.34	$228.34	$228.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $701.39 / $2,111.16	Professional		$232.63	$701.39	$2,111.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $187.12 / $474.86	Professional		$112.40	$187.12	$474.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $123.81 / $369.57	Facility		$44.20	$123.81	$369.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $220.14 / $694.99	Professional		$97.63	$220.14	$694.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $110.63 / $411.84 / $2,000.00	Facility		$110.63	$411.84	$2,000.00
Quartz Facility/Professional Facility Modifier 52 Low / Median / High Price $88.50 / $155.00 / $155.00	Facility	52	$88.50	$155.00	$155.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $781.23 / $2,111.16	Professional		$80.31	$781.23	$2,111.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $209.46 / $253.87 / $1,262.94	Professional		$209.46	$253.87	$1,262.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $232.63 / $552.66 / $880.75	Professional		$232.63	$552.66	$880.75