Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $14,482.00	Facility		$54.95	$54.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.79 / $103.18	Professional		$54.95	$60.79	$103.18
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 $84.54 / $202.90 / $596.87	Professional		$84.54	$202.90	$596.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $314.86 / $483.00	Facility		$269.43	$314.86	$483.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $160.63 / $182.54	Professional		$113.25	$160.63	$182.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.46 / $211.93	Facility		$54.95	$87.46	$211.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.29 / $120.56 / $1,789.00	Facility		$64.29	$120.56	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.38 / $172.48 / $666.32	Professional		$101.38	$172.48	$666.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $324.77	Professional		$50.00	$58.40	$324.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.46 / $211.93	Facility		$54.95	$87.46	$211.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.96 / $216.13 / $301.39	Professional		$147.96	$216.13	$301.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $771.85 / $771.85 / $771.85	Facility		$771.85	$771.85	$771.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $374.63 / $429.05 / $666.32	Professional		$374.63	$429.05	$666.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $323.13 / $323.13 / $323.13	Professional		$323.13	$323.13	$323.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $439.46 / $651.41 / $651.41	Professional		$439.46	$651.41	$651.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,455.00 / $2,202.90	Facility		$1,008.00	$1,455.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $99.18 / $175.05 / $393.01	Professional		$99.18	$175.05	$393.01