Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.76 / $340.31 / $14,482.00	Facility		$197.76	$340.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $197.76 / $596.67	Professional		$143.69	$197.76	$596.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.34 / $416.37 / $752.03	Professional		$165.34	$416.37	$752.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.03 / $500.19 / $806.79	Facility		$428.03	$500.19	$806.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.86 / $492.16 / $567.60	Professional		$257.86	$492.16	$567.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $166.38 / $231.38 / $330.07	Facility		$166.38	$231.38	$330.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.50 / $777.80 / $1,789.00	Facility		$181.50	$777.80	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $426.51 / $844.25	Professional		$198.40	$426.51	$844.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $235.88 / $416.67	Professional		$85.00	$235.88	$416.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $166.38 / $231.38 / $330.07	Facility		$166.38	$231.38	$330.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.10 / $479.96 / $606.41	Professional		$347.10	$479.96	$606.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.11 / $821.90 / $1,268.80	Professional		$241.11	$821.90	$1,268.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $307.81 / $307.81 / $307.81	Professional		$307.81	$307.81	$307.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $342.94 / $518.77 / $518.77	Professional		$342.94	$518.77	$518.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $198.40 / $491.91 / $720.40	Professional		$198.40	$491.91	$720.40