Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.13 / $268.49 / $1,894.00	Facility		$153.13	$268.49	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $151.86 / $542.57	Professional		$96.34	$151.86	$542.57
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 $112.97 / $197.71 / $524.90	Professional		$112.97	$197.71	$524.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.03 / $404.36 / $652.22	Facility		$346.03	$404.36	$652.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.76 / $264.35 / $627.91	Professional		$120.76	$264.35	$627.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $152.74 / $247.15	Facility		$113.11	$152.74	$247.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $197.86 / $1,789.00	Facility		$113.11	$197.86	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $281.66 / $964.24	Professional		$126.89	$281.66	$964.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $93.48 / $219.68	Professional		$58.91	$93.48	$219.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $153.13 / $266.68	Facility		$110.81	$153.13	$266.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $305.27 / $439.48	Professional		$198.90	$305.27	$439.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $717.00 / $717.00	Facility		$717.00	$717.00	$717.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $552.11 / $964.24	Professional		$174.33	$552.11	$964.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $374.20 / $992.84 / $1,261.45	Professional		$374.20	$992.84	$1,261.45
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 $128.49 / $256.98 / $546.79	Professional		$128.49	$256.98	$546.79