Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.80 / $265.66 / $14,482.00	Facility		$191.80	$265.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $214.46 / $451.74	Professional		$154.13	$214.46	$451.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.86 / $324.68 / $403.28	Professional	50	$98.86	$324.68	$403.28
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 $154.13 / $247.63 / $662.88	Professional		$154.13	$247.63	$662.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $231.21 / $395.17 / $1,020.21	Professional	50	$231.21	$395.17	$1,020.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.34 / $507.56 / $818.68	Facility		$434.34	$507.56	$818.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.43 / $324.26 / $586.17	Professional		$167.43	$324.26	$586.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $188.91 / $302.14	Facility		$137.72	$188.91	$302.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $248.12 / $1,789.00	Facility		$141.68	$248.12	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.06 / $372.27 / $1,466.09	Professional		$181.06	$372.27	$1,466.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $131.84 / $321.50	Professional		$77.22	$131.84	$321.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $191.80 / $331.51	Facility		$137.72	$191.80	$331.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $248.95 / $377.05 / $517.10	Professional		$248.95	$377.05	$517.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $898.56 / $898.56 / $898.56	Facility		$898.56	$898.56	$898.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $252.64 / $689.63 / $1,466.09	Professional		$252.64	$689.63	$1,466.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $467.41 / $1,244.83 / $1,575.64	Professional		$467.41	$1,244.83	$1,575.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $179.04 / $339.03 / $678.45	Professional		$179.04	$339.03	$678.45