Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $392.13 / $3,119.00	Facility		$174.12	$392.13	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.12 / $244.67 / $938.42	Professional		$174.12	$244.67	$938.42
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 $220.61 / $369.56 / $1,086.63	Professional		$220.61	$369.56	$1,086.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $672.24 / $785.56 / $1,205.07	Facility		$672.24	$785.56	$1,205.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.99 / $660.80 / $1,127.08	Professional		$304.99	$660.80	$1,127.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $259.44 / $435.70	Facility		$174.12	$259.44	$435.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.87 / $280.82 / $2,951.70	Facility		$181.87	$280.82	$2,951.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $253.41 / $512.50 / $1,898.16	Professional		$253.41	$512.50	$1,898.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $273.68 / $586.37	Professional		$132.93	$273.68	$586.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $174.12 / $259.44 / $435.70	Facility		$174.12	$259.44	$435.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $431.46 / $597.76 / $871.26	Professional		$431.46	$597.76	$871.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $892.96 / $892.96 / $982.04	Facility		$892.96	$892.96	$982.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $421.62 / $1,078.02 / $1,898.16	Professional		$421.62	$1,078.02	$1,898.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $663.13 / $663.13 / $907.42	Professional		$663.13	$663.13	$907.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $694.79 / $1,096.10 / $1,485.16	Professional		$694.79	$1,096.10	$1,485.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.94 / $429.71 / $1,060.10	Professional		$247.94	$429.71	$1,060.10