Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Facility		$9.93	$9.93	$9.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $16.01 / $244.00	Professional		$9.93	$16.01	$244.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,455.00 / $4,441.52	Facility		$1,139.00	$2,455.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $29.05 / $125.29	Professional		$16.14	$29.05	$125.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.35 / $49.49 / $75.92	Facility		$42.35	$49.49	$75.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $40.28 / $45.78	Professional		$18.00	$40.28	$45.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $15.71 / $190.10	Facility		$9.93	$15.71	$190.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $18.18 / $1,368.00	Facility		$10.78	$18.18	$1,368.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.40 / $102.53	Professional		$18.20	$36.40	$102.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $58.40 / $70.00	Professional		$22.73	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $15.71 / $183.00	Facility		$9.93	$15.71	$183.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $38.90 / $55.17	Professional		$21.92	$38.90	$55.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Facility		$80.00	$80.00	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $102.53 / $102.53	Professional		$72.27	$102.53	$102.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Professional		$19.32	$19.32	$19.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $82.72 / $82.72	Professional		$24.15	$82.72	$82.72
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 $18.20 / $33.22 / $56.89	Professional		$18.20	$33.22	$56.89