Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $100.96 / $1,894.00	Facility		$42.58	$100.96	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.70 / $257.86	Professional		$40.74	$50.70	$257.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $121.38 / $259.70	Professional		$50.96	$121.38	$259.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $151.63 / $244.58	Facility		$129.76	$151.63	$244.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $116.21 / $184.30	Professional		$63.80	$116.21	$184.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.98 / $53.69 / $99.03	Facility		$40.98	$53.69	$99.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.07 / $82.66 / $1,789.00	Facility		$43.07	$82.66	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $140.66 / $295.52	Professional		$56.40	$140.66	$295.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $85.00 / $150.12	Professional		$45.20	$85.00	$150.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.98 / $53.69 / $99.03	Facility		$40.98	$53.69	$99.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $126.70 / $168.63	Professional		$89.76	$126.70	$168.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $183.18 / $183.18 / $183.18	Facility		$183.18	$183.18	$183.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $197.30 / $389.19	Professional		$60.42	$197.30	$389.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $124.97 / $211.65 / $268.77	Professional		$124.97	$211.65	$268.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $147.78 / $213.47	Professional		$56.40	$147.78	$213.47