Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.15 / $445.83 / $14,482.00	Facility		$113.15	$445.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $250.16 / $466.02	Professional		$113.15	$250.16	$466.02
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 $178.96 / $277.10 / $859.17	Professional		$178.96	$277.10	$859.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.82 / $864.54 / $1,149.04	Facility		$739.82	$864.54	$1,149.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.01 / $505.00 / $1,226.25	Professional		$187.01	$505.00	$1,226.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.28 / $252.21 / $466.66	Facility		$115.28	$252.21	$466.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.07 / $299.45 / $3,026.00	Facility		$127.07	$299.45	$3,026.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.20 / $1,030.83 / $2,041.44	Professional		$316.20	$1,030.83	$2,041.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $253.92 / $631.07	Professional		$151.05	$253.92	$631.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $116.21 / $263.00 / $515.91	Facility		$116.21	$263.00	$515.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $276.86 / $526.50 / $919.84	Professional		$276.86	$526.50	$919.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $313.52 / $549.53 / $549.53	Facility		$313.52	$549.53	$549.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $278.77 / $1,030.83 / $2,041.44	Professional		$278.77	$1,030.83	$2,041.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $703.41 / $933.73 / $1,615.81	Professional		$703.41	$933.73	$1,615.81
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 $292.68 / $593.36 / $1,331.60	Professional		$292.68	$593.36	$1,331.60