Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $406.89 / $1,894.00	Facility		$142.16	$406.89	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $195.26 / $606.21	Professional		$134.15	$195.26	$606.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.46 / $445.41 / $961.84	Professional		$180.46	$445.41	$961.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.16 / $616.02 / $993.62	Facility		$527.16	$616.02	$993.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $415.60 / $709.51	Professional		$214.22	$415.60	$709.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.22 / $213.62 / $388.81	Facility		$134.22	$213.62	$388.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.16 / $295.31 / $5,261.00	Facility		$142.16	$295.31	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.89 / $588.60 / $1,118.00	Professional		$213.89	$588.60	$1,118.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $273.62 / $448.48	Professional		$99.56	$273.62	$448.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $126.74 / $213.62 / $388.81	Facility		$126.74	$213.62	$388.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $305.83 / $451.11 / $664.40	Professional		$305.83	$451.11	$664.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $621.08 / $621.08 / $621.08	Facility		$621.08	$621.08	$621.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.21 / $840.33 / $1,672.81	Professional		$185.21	$840.33	$1,672.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $403.01 / $643.42 / $966.65	Professional		$403.01	$643.42	$966.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,523.30 / $6,564.00	Facility		$2,960.00	$4,523.30	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.08 / $548.04 / $890.38	Professional		$206.08	$548.04	$890.38