Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.92 / $410.90 / $14,482.00	Facility		$205.92	$410.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $265.19 / $725.94	Professional		$143.22	$265.19	$725.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.39 / $312.79 / $732.24	Professional		$180.39	$312.79	$732.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $303.01 / $469.18 / $1,098.35	Professional	50	$303.01	$469.18	$1,098.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.81 / $854.01 / $1,377.48	Facility		$730.81	$854.01	$1,377.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.16 / $522.04 / $1,282.08	Professional		$195.16	$522.04	$1,282.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.99 / $267.95 / $493.08	Facility		$141.99	$267.95	$493.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $378.12 / $5,639.00	Facility		$151.94	$378.12	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $577.50 / $2,877.37	Professional		$275.00	$577.50	$2,877.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $185.18 / $492.74	Professional		$28.95	$185.18	$492.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $141.99 / $265.19 / $510.18	Facility		$141.99	$265.19	$510.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $284.16 / $489.80 / $869.00	Professional		$284.16	$489.80	$869.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $964.44 / $964.44 / $964.44	Facility		$964.44	$964.44	$964.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $277.94 / $1,024.24 / $2,877.37	Professional		$277.94	$1,024.24	$2,877.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $585.24 / $1,335.35 / $2,635.58	Professional		$585.24	$1,335.35	$2,635.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $522.52 / $1,165.22	Professional		$275.00	$522.52	$1,165.22