Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.75 / $416.63 / $3,119.00	Facility		$159.75	$416.63	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.15 / $178.52 / $492.22	Professional		$135.15	$178.52	$492.22
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 $181.30 / $466.07 / $942.64	Professional		$181.30	$466.07	$942.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.67 / $642.35 / $1,036.08	Facility		$549.67	$642.35	$1,036.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.45 / $480.98 / $714.57	Professional		$233.45	$480.98	$714.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $159.75 / $226.76 / $503.84	Facility		$159.75	$226.76	$503.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.44 / $317.70 / $8,129.86	Facility		$170.44	$317.70	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.17 / $461.90 / $1,447.00	Professional		$185.17	$461.90	$1,447.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $273.62 / $439.36	Professional		$99.56	$273.62	$439.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $159.75 / $226.76 / $503.84	Facility		$159.75	$226.76	$503.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.14 / $468.34 / $686.89	Professional		$331.14	$468.34	$686.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $693.16 / $693.16 / $693.16	Facility		$693.16	$693.16	$693.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $227.16 / $676.40 / $1,882.25	Professional		$227.16	$676.40	$1,882.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $363.97 / $363.97 / $522.60	Professional		$363.97	$363.97	$522.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $376.60 / $795.79 / $1,123.55	Professional		$376.60	$795.79	$1,123.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $416.98 / $747.48	Professional		$183.34	$416.98	$747.48