Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $86.18 / $338.16	Facility		$31.92	$86.18	$338.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $86.18 / $186.10	Professional		$31.92	$86.18	$186.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $100.53 / $212.07	Professional		$44.59	$100.53	$212.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.71 / $290.64 / $445.84	Facility		$248.71	$290.64	$445.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $152.53 / $411.81	Professional		$62.80	$152.53	$411.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $81.75 / $181.31	Facility		$33.26	$81.75	$181.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $100.83 / $1,449.00	Facility		$34.18	$100.83	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.15 / $234.64 / $788.45	Professional		$123.15	$234.64	$788.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $101.24 / $235.87	Professional		$58.42	$101.24	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.26 / $81.75 / $181.31	Facility		$33.26	$81.75	$181.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.56 / $153.58 / $308.02	Professional		$78.56	$153.58	$308.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $132.91 / $155.94	Facility		$132.91	$132.91	$155.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $348.31 / $848.16	Professional		$80.93	$348.31	$848.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $175.99 / $322.36	Professional		$67.02	$175.99	$322.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $213.77 / $436.34	Professional		$108.05	$213.77	$436.34