Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $386.89 / $1,894.00	Facility		$149.94	$386.89	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $169.67 / $602.11	Professional		$115.43	$169.67	$602.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.27 / $422.27 / $1,014.86	Professional		$165.27	$422.27	$1,014.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.02 / $585.48 / $944.37	Facility		$501.02	$585.48	$944.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.56 / $473.18 / $755.49	Professional		$302.56	$473.18	$755.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.78 / $177.64 / $315.79	Facility		$118.78	$177.64	$315.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.40 / $220.10 / $5,639.00	Facility		$145.40	$220.10	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $437.71 / $1,185.83	Professional		$197.86	$437.71	$1,185.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $223.50 / $431.09	Professional		$96.65	$223.50	$431.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $177.64 / $315.79	Facility		$126.00	$177.64	$315.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $347.73 / $495.71 / $641.61	Professional		$347.73	$495.71	$641.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,125.59 / $1,125.59 / $1,125.59	Facility		$1,125.59	$1,125.59	$1,125.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.17 / $797.22 / $1,394.56	Professional		$309.17	$797.22	$1,394.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $680.42 / $680.42 / $811.98	Professional		$680.42	$680.42	$811.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $638.74 / $1,050.18 / $1,239.69	Professional		$638.74	$1,050.18	$1,239.69
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 $183.55 / $453.84 / $737.79	Professional		$183.55	$453.84	$737.79