Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $89.39 / $14,482.00	Facility		$37.29	$89.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $40.74 / $68.31	Professional		$37.29	$40.74	$68.31
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 $44.35 / $95.83 / $199.54	Professional		$44.35	$95.83	$199.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $130.58 / $200.31	Facility		$111.74	$130.58	$200.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $89.98 / $126.55	Professional		$45.11	$89.98	$126.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.43 / $68.31 / $134.51	Facility		$41.43	$68.31	$134.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.27 / $126.54 / $1,789.00	Facility		$43.27	$126.54	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $89.95 / $216.21	Professional		$45.87	$89.95	$216.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $64.69 / $85.00	Professional		$20.35	$64.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.43 / $68.31 / $134.51	Facility		$41.43	$68.31	$134.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $106.43 / $151.03	Professional		$83.01	$106.43	$151.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $212.64 / $1,343.85 / $1,343.85	Facility		$212.64	$1,343.85	$1,343.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $183.06 / $622.48	Professional		$50.45	$183.06	$622.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $185.21 / $185.21	Professional		$84.71	$185.21	$185.21
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 $43.52 / $71.77 / $177.22	Professional		$43.52	$71.77	$177.22