Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.55 / $368.35 / $14,482.00	Facility		$196.55	$368.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.30 / $196.55 / $571.90	Professional		$159.30	$196.55	$571.90
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 $168.10 / $469.48 / $974.95	Professional		$168.10	$469.48	$974.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.29 / $550.73 / $888.32	Facility		$471.29	$550.73	$888.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.13 / $535.04 / $744.47	Professional		$270.13	$535.04	$744.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.08 / $219.80 / $351.98	Facility		$180.08	$219.80	$351.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.45 / $2,781.00 / $6,312.00	Facility		$196.45	$2,781.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.41 / $424.35 / $861.57	Professional		$194.41	$424.35	$861.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $222.99 / $373.53	Professional		$83.09	$222.99	$373.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.08 / $219.80 / $351.98	Facility		$180.08	$219.80	$351.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.20 / $517.02 / $647.90	Professional		$356.20	$517.02	$647.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $6,817.20 / $6,817.20	Facility		$6,817.20	$6,817.20	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $279.02 / $848.70 / $1,349.84	Professional		$279.02	$848.70	$1,349.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $449.01 / $449.01 / $449.01	Professional		$449.01	$449.01	$449.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $444.52 / $977.41 / $977.41	Professional		$444.52	$977.41	$977.41
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 $191.82 / $457.08 / $743.89	Professional		$191.82	$457.08	$743.89