Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.47 / $476.73 / $1,894.00	Facility		$180.47	$476.73	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $251.18 / $878.82	Professional		$173.05	$251.18	$878.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.11 / $526.71 / $1,194.44	Professional		$219.11	$526.71	$1,194.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.47 / $719.22 / $1,160.08	Facility		$615.47	$719.22	$1,160.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $526.67 / $829.66	Professional		$257.04	$526.67	$829.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $251.18 / $455.54	Facility		$84.00	$251.18	$455.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $332.96 / $5,261.00	Facility		$169.73	$332.96	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.12 / $703.75 / $1,253.83	Professional		$255.12	$703.75	$1,253.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $281.24 / $488.89	Professional		$99.56	$281.24	$488.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.21 / $251.18 / $455.54	Facility		$83.21	$251.18	$455.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $376.38 / $542.42 / $783.57	Professional		$376.38	$542.42	$783.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $791.00 / $791.00 / $791.00	Facility		$791.00	$791.00	$791.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $982.62 / $2,669.86	Professional		$234.70	$982.62	$2,669.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $511.01 / $815.36 / $1,130.35	Professional		$511.01	$815.36	$1,130.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.91 / $651.70 / $997.77	Professional		$217.91	$651.70	$997.77