Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $105.32 / $376.35	Facility		$47.11	$105.32	$376.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $83.18 / $363.77	Professional		$47.88	$83.18	$363.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $111.71 / $342.05 / $740.45	Professional	50	$111.71	$342.05	$740.45
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 $77.63 / $175.88 / $417.05	Professional		$77.63	$175.88	$417.05
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $116.44 / $268.11 / $625.96	Professional	50	$116.44	$268.11	$625.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.06 / $244.30 / $394.05	Facility		$209.06	$244.30	$394.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $166.81 / $317.17	Professional		$84.44	$166.81	$317.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.84 / $72.98 / $155.22	Facility		$45.84	$72.98	$155.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.88 / $127.18 / $1,778.00	Facility		$47.88	$127.18	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $249.61 / $505.94	Professional		$106.54	$249.61	$505.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $112.99 / $188.22	Professional		$45.20	$112.99	$188.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $72.98 / $155.22	Facility		$42.00	$72.98	$155.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $177.15 / $272.10	Professional		$118.98	$177.15	$272.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $360.24 / $360.24 / $360.24	Facility		$360.24	$360.24	$360.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $332.42 / $656.02	Professional		$71.14	$332.42	$656.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $171.66 / $286.74 / $443.57	Professional		$171.66	$286.74	$443.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $91.32 / $237.74 / $398.79	Professional		$91.32	$237.74	$398.79