Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.61 / $50.38 / $1,894.00	Facility		$20.61	$50.38	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $27.20 / $56.09	Professional		$20.61	$27.20	$56.09
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 $30.57 / $62.76 / $139.97	Professional		$30.57	$62.76	$139.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $97.93 / $150.22	Facility		$83.80	$97.93	$150.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.65 / $50.39 / $88.17	Professional		$27.65	$50.39	$88.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $38.77 / $89.46	Facility		$24.11	$38.77	$89.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $65.95 / $1,590.00	Facility		$26.87	$65.95	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.01 / $64.95 / $2,210.02	Professional		$34.01	$64.95	$2,210.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $65.00 / $85.00	Professional		$27.49	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $38.77 / $89.46	Facility		$24.11	$38.77	$89.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $75.79 / $106.35	Professional		$53.28	$75.79	$106.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $63.14 / $112.04	Facility		$47.24	$63.14	$112.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $102.74 / $2,582.05	Professional		$31.04	$102.74	$2,582.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $103.94 / $137.31	Professional		$53.69	$103.94	$137.31
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 $31.34 / $60.62 / $135.58	Professional		$31.34	$60.62	$135.58