Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $355.75 / $14,482.00	Facility		$160.75	$355.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.75 / $172.37 / $671.97	Professional		$160.75	$172.37	$671.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $5,692.00 / $7,344.00	Facility		$5,479.00	$5,692.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.76 / $344.07 / $966.84	Professional		$173.76	$344.07	$966.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.15 / $520.20 / $798.00	Facility		$445.15	$520.20	$798.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.77 / $668.84 / $760.05	Professional		$272.77	$668.84	$760.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $212.79 / $355.75	Facility		$160.75	$212.79	$355.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $251.84 / $1,756.00	Facility		$160.75	$251.84	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.91 / $346.57 / $1,303.68	Professional		$190.91	$346.57	$1,303.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $215.84 / $482.46	Professional		$108.15	$215.84	$482.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $210.00 / $355.75	Facility		$160.75	$210.00	$355.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.48 / $426.10 / $636.08	Professional		$349.48	$426.10	$636.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $336.01 / $864.35 / $1,303.68	Professional		$336.01	$864.35	$1,303.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $607.44 / $607.44 / $607.44	Professional		$607.44	$607.44	$607.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $838.10 / $1,001.51	Professional		$467.74	$838.10	$1,001.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,925.00	Facility		$1,034.00	$1,590.00	$2,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.84 / $356.18 / $813.88	Professional		$186.84	$356.18	$813.88