Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.48 / $450.45 / $8,055.74	Facility		$164.48	$450.45	$8,055.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $202.85 / $652.34	Professional		$142.19	$202.85	$652.34
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 $179.23 / $345.28 / $625.47	Professional		$179.23	$345.28	$625.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.33 / $688.68 / $1,110.82	Facility		$589.33	$688.68	$1,110.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.75 / $436.43 / $754.15	Professional		$238.75	$436.43	$754.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $161.56 / $240.24 / $430.43	Facility		$161.56	$240.24	$430.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.48 / $303.91 / $8,129.86	Facility		$164.48	$303.91	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.89 / $562.03 / $1,056.56	Professional		$237.89	$562.03	$1,056.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $262.78 / $556.04	Professional		$85.00	$262.78	$556.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $161.56 / $240.24 / $430.43	Facility		$161.56	$240.24	$430.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $338.64 / $504.21 / $725.00	Professional		$338.64	$504.21	$725.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $679.48 / $679.48 / $679.48	Facility		$679.48	$679.48	$679.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $221.29 / $943.88 / $1,672.80	Professional		$221.29	$943.88	$1,672.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $255.26 / $255.26 / $422.57	Professional		$255.26	$255.26	$422.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $298.43 / $432.85 / $699.51	Professional		$298.43	$432.85	$699.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $237.89 / $538.80 / $879.09	Professional		$237.89	$538.80	$879.09