Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $32.96 / $14,482.00	Facility		$13.71	$32.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.71 / $17.69 / $92.00	Professional		$13.71	$17.69	$92.00
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 $18.19 / $39.27 / $82.08	Professional		$18.19	$39.27	$82.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $87.23	Facility		$48.66	$56.86	$87.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $29.66 / $53.85	Professional		$17.20	$29.66	$53.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.43 / $24.88 / $51.12	Facility		$15.43	$24.88	$51.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $37.65 / $1,513.00	Facility		$16.01	$37.65	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $34.11 / $87.18	Professional		$17.85	$34.11	$87.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $61.71 / $85.00	Professional		$21.92	$61.71	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.43 / $24.88 / $51.12	Facility		$15.43	$24.88	$51.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $46.43 / $60.50	Professional		$31.97	$46.43	$60.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $41.31 / $72.68	Facility		$30.91	$41.31	$72.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $67.86 / $198.00	Professional		$18.70	$67.86	$198.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $65.59 / $78.81	Professional		$32.69	$65.59	$78.81
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 $17.41 / $28.48 / $73.52	Professional		$17.41	$28.48	$73.52