Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.77 / $183.44 / $14,482.00	Facility		$132.77	$183.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $142.06 / $359.03	Professional		$112.68	$142.06	$359.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,601.10 / $1,601.10 / $1,601.10	Professional	50	$1,601.10	$1,601.10	$1,601.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $174.50 / $421.96	Professional		$117.91	$174.50	$421.96
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $173.65 / $262.17 / $652.12	Professional	50	$173.65	$262.17	$652.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.10 / $371.72 / $599.57	Facility		$318.10	$371.72	$599.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.98 / $239.97 / $432.61	Professional		$107.98	$239.97	$432.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.84 / $141.09 / $233.72	Facility		$97.84	$141.09	$233.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.36 / $180.07 / $1,789.00	Facility		$104.36	$180.07	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $268.49 / $947.48	Professional		$134.57	$268.49	$947.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $125.50 / $295.01	Professional		$78.44	$125.50	$295.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $97.84 / $141.09 / $245.27	Facility		$97.84	$141.09	$245.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $275.35 / $386.20	Professional		$172.25	$275.35	$386.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $620.28 / $620.28 / $620.28	Facility		$620.28	$620.28	$620.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $152.11 / $508.95 / $947.48	Professional		$152.11	$508.95	$947.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.65 / $858.21 / $1,162.79	Professional		$402.65	$858.21	$1,162.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $134.57 / $249.72 / $519.28	Professional		$134.57	$249.72	$519.28