Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.87 / $260.17 / $1,894.00	Facility		$71.87	$260.17	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $126.96 / $260.17	Professional		$71.87	$126.96	$260.17
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 $113.13 / $306.13 / $762.74	Professional		$113.13	$306.13	$762.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.14 / $509.67 / $822.07	Facility		$436.14	$509.67	$822.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $251.68 / $584.54	Professional		$118.04	$251.68	$584.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $139.49 / $316.52	Facility		$63.00	$139.49	$316.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.28 / $188.44 / $1,778.00	Facility		$67.28	$188.44	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $390.64 / $799.97	Professional		$140.43	$390.64	$799.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $149.02 / $327.85	Professional		$77.22	$149.02	$327.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $139.49 / $316.52	Facility		$54.95	$139.49	$316.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.35 / $294.77 / $539.62	Professional		$163.35	$294.77	$539.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $332.56 / $332.56 / $332.56	Facility		$332.56	$332.56	$332.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $429.07 / $1,206.40	Professional		$108.57	$429.07	$1,206.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $418.80 / $490.25 / $972.69	Professional		$418.80	$490.25	$972.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $140.43 / $369.23 / $653.13	Professional		$140.43	$369.23	$653.13