Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.21 / $433.92 / $14,482.00	Facility		$110.21	$433.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $235.22 / $459.89	Professional		$110.21	$235.22	$459.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,441.52	Facility		$1,314.00	$2,550.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $269.89 / $836.00	Professional		$155.03	$269.89	$836.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.15 / $797.14 / $1,059.47	Facility		$682.15	$797.14	$1,059.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $481.56 / $1,131.40	Professional		$181.56	$481.56	$1,131.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $243.34 / $430.42	Facility		$112.32	$243.34	$430.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.60 / $276.20 / $3,026.00	Facility		$123.60	$276.20	$3,026.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $294.74 / $953.62 / $2,628.00	Professional		$294.74	$953.62	$2,628.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $230.17 / $551.40	Professional		$132.62	$230.17	$551.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.19 / $243.34 / $481.50	Facility		$113.19	$243.34	$481.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $491.77 / $848.29	Professional		$269.20	$491.77	$848.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $305.14 / $534.36 / $534.36	Facility		$305.14	$534.36	$534.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $268.33 / $953.62 / $2,628.00	Professional		$268.33	$953.62	$2,628.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.89 / $738.74 / $1,490.90	Professional		$446.89	$738.74	$1,490.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,295.00	Facility		$2,367.00	$2,910.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $294.74 / $709.68 / $1,275.17	Professional		$294.74	$709.68	$1,275.17