Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $113.04 / $14,482.00	Facility		$12.73	$113.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $80.33 / $205.66	Professional		$12.73	$80.33	$205.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $92.72 / $388.16	Professional		$19.82	$92.72	$388.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.41 / $389.62 / $597.69	Facility		$333.41	$389.62	$597.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $88.09 / $317.00	Professional		$36.17	$88.09	$317.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $90.75 / $265.05	Facility		$14.22	$90.75	$265.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $60.31 / $60.31	Professional		$60.31	$60.31	$60.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $109.26 / $1,590.00	Facility		$14.89	$109.26	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $178.43 / $451.35	Professional		$89.02	$178.43	$451.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $97.24 / $197.34	Professional		$59.13	$97.24	$197.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.22 / $90.75 / $265.05	Facility		$14.22	$90.75	$265.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $60.31 / $60.31 / $60.31	Professional		$60.31	$60.31	$60.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $106.47 / $320.20	Professional		$32.79	$106.47	$320.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $197.04 / $197.04	Facility		$26.42	$197.04	$197.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $192.44 / $813.12	Professional		$59.45	$192.44	$813.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $95.26 / $527.13	Professional		$50.83	$95.26	$527.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $158.69 / $391.36	Professional		$92.95	$158.69	$391.36