Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $218.91 / $7,072.72	Facility		$55.55	$218.91	$7,072.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $93.92 / $332.07	Professional		$56.04	$93.92	$332.07
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.26 / $132.35 / $457.57	Professional	50	$130.26	$132.35	$457.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $136.04 / $337.01	Professional		$74.68	$136.04	$337.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $116.28 / $204.06 / $516.88	Professional	50	$116.28	$204.06	$516.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.42 / $304.33 / $466.84	Facility		$260.42	$304.33	$466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $232.60 / $435.19	Professional		$99.45	$232.60	$435.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $94.17 / $184.51	Facility		$57.82	$94.17	$184.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.57 / $114.80 / $1,449.00	Facility		$58.57	$114.80	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $212.51 / $721.31	Professional		$110.00	$212.51	$721.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $101.24 / $235.87	Professional		$58.91	$101.24	$235.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $94.17 / $184.51	Facility		$57.82	$94.17	$184.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.76 / $212.96 / $328.27	Professional		$132.76	$212.96	$328.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $270.97 / $270.97 / $270.97	Facility		$270.97	$270.97	$270.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.30 / $416.25 / $2,500.00	Professional		$136.30	$416.25	$2,500.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $200.51 / $348.33 / $573.46	Professional		$200.51	$348.33	$573.46
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 $104.36 / $188.73 / $423.51	Professional		$104.36	$188.73	$423.51