Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $55.43 / $206.32	Facility		$30.99	$55.43	$206.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $55.43 / $167.13	Professional		$30.99	$55.43	$167.13
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 $39.79 / $71.52 / $188.98	Professional		$39.79	$71.52	$188.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.29 / $177.96 / $273.00	Facility		$152.29	$177.96	$273.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $125.17 / $261.35	Professional		$54.77	$125.17	$261.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $61.68 / $122.50	Facility		$31.01	$61.68	$122.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $65.75 / $1,449.00	Facility		$32.93	$65.75	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $118.23 / $1,687.42	Professional		$60.58	$118.23	$1,687.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $70.16 / $154.36	Professional		$41.03	$70.16	$154.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $60.69 / $122.50	Facility		$31.31	$60.69	$122.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $122.52 / $188.87	Professional		$70.92	$122.52	$188.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $140.77 / $140.77 / $140.77	Facility		$140.77	$140.77	$140.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $242.10 / $1,687.42	Professional		$68.15	$242.10	$1,687.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $101.37 / $101.37 / $180.76	Professional		$101.37	$101.37	$180.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $199.18 / $366.06	Professional		$133.44	$199.18	$366.06
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 $55.22 / $105.08 / $235.92	Professional		$55.22	$105.08	$235.92