Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.77 / $34.04 / $1,894.00	Facility		$13.77	$34.04	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.77 / $20.36 / $57.26	Professional		$13.77	$20.36	$57.26
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 $23.41 / $46.66 / $102.31	Professional		$23.41	$46.66	$102.31
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.97 / $71.89 / $154.41	Professional	50	$35.97	$71.89	$154.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $75.81 / $116.31	Facility		$64.88	$75.81	$116.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $34.11 / $65.98	Professional		$18.76	$34.11	$65.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $28.93 / $66.75	Facility		$16.57	$28.93	$66.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $45.30 / $1,590.00	Facility		$17.89	$45.30	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $49.88 / $3,376.87	Professional		$26.37	$49.88	$3,376.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $65.00 / $85.00	Professional		$22.90	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $28.93 / $66.75	Facility		$16.57	$28.93	$66.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.31 / $55.00 / $80.30	Professional		$37.31	$55.00	$80.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $42.67 / $75.68	Facility		$31.92	$42.67	$75.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $69.12 / $3,779.26	Professional		$20.95	$69.12	$3,779.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.43 / $69.93 / $104.73	Professional		$37.43	$69.93	$104.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $23.34 / $42.55 / $103.50	Professional		$23.34	$42.55	$103.50