Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $14,482.00	Facility		$18.07	$18.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $26.90 / $205.93	Professional		$18.07	$26.90	$205.93
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 $33.28 / $120.81 / $342.09	Professional		$33.28	$120.81	$342.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $90.56 / $146.07	Facility		$77.50	$90.56	$146.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $47.27 / $53.71	Professional		$32.25	$47.27	$53.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $26.01 / $45.67	Facility		$18.07	$26.01	$45.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $1,209.00 / $2,090.40	Facility		$24.38	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $63.66 / $286.30	Professional		$30.52	$63.66	$286.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $26.01 / $45.67	Facility		$18.07	$26.01	$45.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $87.12 / $245.05	Professional		$47.28	$87.12	$245.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $166.51 / $166.51 / $166.51	Facility		$166.51	$166.51	$166.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.66 / $286.30 / $286.30	Professional		$123.66	$286.30	$286.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $86.39 / $86.39	Professional		$86.39	$86.39	$86.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $61.05 / $1,201.97	Professional		$27.62	$61.05	$1,201.97