Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.86 / $154.06 / $3,180.49	Facility		$35.86	$154.06	$3,180.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $68.31 / $264.07	Professional		$35.86	$68.31	$264.07
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 $62.45 / $131.43 / $303.85	Professional		$62.45	$131.43	$303.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.76 / $247.46 / $379.61	Facility		$211.76	$247.46	$379.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.77 / $104.48 / $222.96	Professional		$47.77	$104.48	$222.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $85.86 / $214.65	Facility		$42.56	$85.86	$214.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $116.49 / $1,590.00	Facility		$46.10	$116.49	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $135.03 / $2,932.96	Professional		$70.95	$135.03	$2,932.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $65.66 / $147.46	Professional		$39.56	$65.66	$147.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $85.86 / $214.65	Facility		$42.56	$85.86	$214.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $148.76 / $257.47	Professional		$97.83	$148.76	$257.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $108.34 / $198.29	Facility		$81.06	$108.34	$198.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.09 / $178.43 / $3,377.81	Professional		$54.09	$178.43	$3,377.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $180.54 / $341.50	Professional		$97.82	$180.54	$341.50
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 $71.20 / $131.97 / $282.19	Professional		$71.20	$131.97	$282.19