Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.05 / $233.57 / $14,482.00	Facility		$105.05	$233.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $111.81 / $404.43	Professional		$105.05	$111.81	$404.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,338.00 / $6,049.00	Facility		$2,740.00	$4,338.00	$6,049.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.72 / $305.87 / $848.20	Professional		$113.72	$305.87	$848.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.06 / $340.13 / $548.62	Facility		$291.06	$340.13	$548.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.92 / $439.65 / $499.60	Professional		$215.92	$439.65	$499.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.05 / $157.50 / $226.05	Facility		$105.05	$157.50	$226.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.19 / $1,716.00 / $7,700.00	Facility		$114.19	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $337.15 / $868.99	Professional		$136.72	$337.15	$868.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $159.57 / $347.46	Professional		$70.00	$159.57	$347.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.05 / $157.50 / $226.05	Facility		$105.05	$157.50	$226.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $380.00 / $510.20	Professional		$247.00	$380.00	$510.20
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 $220.88 / $563.15 / $883.32	Professional		$220.88	$563.15	$883.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $398.17 / $398.17 / $398.17	Professional		$398.17	$398.17	$398.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $386.72 / $658.35 / $658.35	Professional		$386.72	$658.35	$658.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $394.21 / $531.86	Professional		$136.72	$394.21	$531.86