Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.71 / $228.33 / $14,482.00	Facility		$165.71	$228.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $141.04 / $386.61	Professional		$97.26	$141.04	$386.61
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 $108.75 / $213.95 / $516.52	Professional		$108.75	$213.95	$516.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $177.97 / $327.20 / $793.57	Professional	50	$177.97	$327.20	$793.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.30 / $380.14 / $613.16	Facility		$325.30	$380.14	$613.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.39 / $259.14 / $442.14	Professional		$126.39	$259.14	$442.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.01 / $166.11 / $250.54	Facility		$112.01	$166.11	$250.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.33 / $220.21 / $5,639.00	Facility		$112.33	$220.21	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $293.70 / $1,992.30	Professional		$118.25	$293.70	$1,992.30
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 $112.01 / $169.10 / $275.86	Facility		$112.01	$169.10	$275.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $285.55 / $391.61	Professional		$213.20	$285.55	$391.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $774.12 / $774.12 / $774.12	Facility		$774.12	$774.12	$774.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.40 / $535.45 / $1,992.30	Professional		$185.40	$535.45	$1,992.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $352.55 / $1,073.73 / $1,188.39	Professional		$352.55	$1,073.73	$1,188.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.52 / $234.74 / $530.55	Professional		$118.52	$234.74	$530.55