Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.83 / $120.29 / $1,894.00	Facility		$28.83	$120.29	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $55.32 / $229.50	Professional		$28.83	$55.32	$229.50
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 $45.24 / $95.07 / $214.93	Professional		$45.24	$95.07	$214.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $73.37 / $153.55 / $325.54	Professional	50	$73.37	$153.55	$325.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.69 / $184.28 / $282.69	Facility		$157.69	$184.28	$282.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $84.33 / $158.07	Professional		$35.28	$84.33	$158.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $64.15 / $156.30	Facility		$32.56	$64.15	$156.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.22 / $89.73 / $1,513.00	Facility		$36.22	$89.73	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $96.16 / $242.32	Professional		$44.82	$96.16	$242.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $42.63 / $79.66	Professional		$19.34	$42.63	$79.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.56 / $64.15 / $156.30	Facility		$32.56	$64.15	$156.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $112.42 / $187.15	Professional		$69.40	$112.42	$187.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $86.15 / $149.85	Facility		$64.45	$86.15	$149.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $154.15 / $431.44	Professional		$53.91	$154.15	$431.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.28 / $140.22 / $251.90	Professional		$71.28	$140.22	$251.90
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $82.49 / $195.24	Professional		$44.82	$82.49	$195.24