Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $53.82 / $1,894.00	Facility		$17.34	$53.82	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $23.98 / $110.00	Professional		$17.34	$23.98	$110.00
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 $26.50 / $61.99 / $120.83	Professional		$26.50	$61.99	$120.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $81.08 / $130.78	Facility		$69.39	$81.08	$130.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $60.08 / $94.59	Professional		$38.43	$60.08	$94.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $30.62 / $51.43	Facility		$18.91	$30.62	$51.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $48.67 / $1,778.00	Facility		$22.21	$48.67	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $82.10 / $244.00	Professional		$30.44	$82.10	$244.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.30 / $70.00 / $91.26	Professional		$28.30	$70.00	$91.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.34 / $29.32 / $51.43	Facility		$17.34	$29.32	$51.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $61.53 / $87.69	Professional		$46.56	$61.53	$87.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $92.34 / $92.34 / $92.34	Facility		$92.34	$92.34	$92.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $111.29 / $284.63	Professional		$39.78	$111.29	$284.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $87.89 / $112.55	Professional		$42.63	$87.89	$112.55
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 $30.02 / $73.23 / $109.39	Professional		$30.02	$73.23	$109.39