Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.39 / $819.76 / $15,603.56	Facility		$332.39	$819.76	$15,603.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.86 / $368.72 / $909.68	Professional		$211.86	$368.72	$909.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $114.04 / $5,829.30	Professional	50	$114.04	$114.04	$5,829.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.16 / $504.90 / $1,057.65	Professional		$277.16	$504.90	$1,057.65
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $489.12 / $757.35 / $1,596.66	Professional	50	$489.12	$757.35	$1,596.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,015.56 / $1,186.76 / $1,914.21	Facility		$1,015.56	$1,186.76	$1,914.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.24 / $707.43 / $1,363.19	Professional		$309.24	$707.43	$1,363.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $238.86 / $398.87 / $685.75	Facility		$238.86	$398.87	$685.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.32 / $543.04 / $8,384.00	Facility		$245.32	$543.04	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $418.35 / $836.78 / $3,771.59	Professional		$418.35	$836.78	$3,771.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.95 / $244.60 / $654.86	Professional		$28.95	$244.60	$654.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $238.86 / $398.87 / $749.72	Facility		$238.86	$398.87	$749.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $430.30 / $716.15 / $1,234.36	Professional		$430.30	$716.15	$1,234.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,560.84 / $1,560.84 / $1,560.84	Facility		$1,560.84	$1,560.84	$1,560.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $425.23 / $1,603.76 / $3,771.59	Professional		$425.23	$1,603.76	$3,771.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $944.88 / $2,160.85 / $3,664.16	Professional		$944.88	$2,160.85	$3,664.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $398.43 / $786.75 / $1,657.02	Professional		$398.43	$786.75	$1,657.02