Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $76.43 / $1,238.29	Facility		$22.52	$76.43	$1,238.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $159.31 / $414.21	Professional		$20.64	$159.31	$414.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $68.78 / $1,061.95	Professional		$27.07	$68.78	$1,061.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.69 / $1,091.58 / $1,275.59	Facility		$608.69	$1,091.58	$1,275.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $84.66 / $883.44	Professional		$23.88	$84.66	$883.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $61.02 / $887.97	Facility		$22.52	$61.02	$887.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $66.72 / $887.97	Facility		$22.87	$66.72	$887.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.26 / $310.95 / $843.21	Professional		$41.26	$310.95	$843.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $308.80 / $677.98	Professional		$184.37	$308.80	$677.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $61.02 / $887.97	Facility		$22.52	$61.02	$887.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $92.41 / $1,080.72	Professional		$47.05	$92.41	$1,080.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.82 / $48.53 / $95.38	Facility		$38.82	$48.53	$95.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $137.34 / $2,483.07	Professional		$33.13	$137.34	$2,483.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $132.15 / $1,223.58	Professional		$71.47	$132.15	$1,223.58
United Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $313.07 / $956.71	Professional		$38.04	$313.07	$956.71