Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.85 / $916.57 / $17,823.00	Facility		$239.85	$916.57	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.56 / $232.18 / $610.85	Professional		$108.56	$232.18	$610.85
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 $152.71 / $265.87 / $823.44	Professional		$152.71	$265.87	$823.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.54 / $792.93 / $1,053.86	Facility		$678.54	$792.93	$1,053.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.46 / $475.42 / $1,125.14	Professional		$178.46	$475.42	$1,125.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $110.66 / $241.65 / $427.43	Facility		$110.66	$241.65	$427.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.83 / $274.27 / $3,026.00	Facility		$121.83	$274.27	$3,026.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $290.64 / $948.79 / $1,874.88	Professional		$290.64	$948.79	$1,874.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.62 / $228.57 / $551.40	Professional		$132.62	$228.57	$551.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $111.50 / $241.65 / $475.43	Facility		$111.50	$241.65	$475.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $265.42 / $485.85 / $842.62	Professional		$265.42	$485.85	$842.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $300.61 / $526.83 / $526.83	Facility		$300.61	$526.83	$526.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.73 / $948.79 / $1,874.88	Professional		$263.73	$948.79	$1,874.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $729.46 / $1,482.64	Professional		$438.50	$729.46	$1,482.64
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 $262.37 / $501.50 / $1,223.73	Professional		$262.37	$501.50	$1,223.73