Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.81 / $70.76 / $14,482.00	Facility		$50.81	$70.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $47.76 / $162.61	Professional		$31.76	$47.76	$162.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
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 $36.52 / $65.61 / $159.30	Professional		$36.52	$65.61	$159.30
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.87 / $100.33 / $248.53	Professional	50	$60.87	$100.33	$248.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $129.52 / $208.92	Facility		$110.84	$129.52	$208.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.89 / $84.45 / $150.59	Professional		$38.89	$84.45	$150.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $51.45 / $80.47	Facility		$37.74	$51.45	$80.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $68.25 / $1,789.00	Facility		$37.74	$68.25	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $88.76 / $821.00	Professional		$42.75	$88.76	$821.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $32.22 / $74.11	Professional		$19.71	$32.22	$74.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $51.45 / $85.53	Facility		$37.74	$51.45	$85.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $97.81 / $134.13	Professional		$66.30	$97.81	$134.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $238.08 / $238.08 / $238.08	Facility		$238.08	$238.08	$238.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $177.17 / $821.00	Professional		$64.09	$177.17	$821.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $142.11 / $329.45 / $404.81	Professional		$142.11	$329.45	$404.81
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $80.40 / $177.62	Professional		$41.28	$80.40	$177.62