Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $40.47 / $40.47	Facility		$40.47	$40.47	$40.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $56.81 / $65.31	Professional		$40.47	$56.81	$65.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $90.33 / $404.35	Professional		$47.60	$90.33	$404.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.06 / $244.30 / $374.77	Facility		$209.06	$244.30	$374.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $124.66 / $141.66	Professional		$87.75	$124.66	$141.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $62.72 / $157.16	Facility		$40.47	$62.72	$157.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $106.32 / $7,700.00	Facility		$47.21	$106.32	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $85.25 / $483.28	Professional		$49.73	$85.25	$483.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $127.93	Professional		$50.00	$60.00	$127.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $62.40 / $157.16	Facility		$40.47	$62.40	$157.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $162.49 / $226.60	Professional		$88.54	$162.49	$226.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.50 / $178.42 / $311.83	Facility		$133.50	$178.42	$311.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $276.89 / $483.28	Professional		$276.89	$276.89	$483.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $249.54 / $249.54	Professional		$249.54	$249.54	$249.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $339.37 / $531.41 / $531.41	Professional		$339.37	$531.41	$531.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $85.32 / $184.23	Professional		$49.73	$85.32	$184.23