Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $34.92 / $110.60	Facility		$18.32	$34.92	$110.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $30.37 / $114.31	Professional		$17.59	$30.37	$114.31
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 $27.15 / $42.27 / $124.95	Professional		$27.15	$42.27	$124.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.72 / $63.40 / $188.47	Professional	50	$40.72	$63.40	$188.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $93.72 / $143.77	Facility		$80.20	$93.72	$143.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.49 / $72.59 / $138.40	Professional		$32.49	$72.59	$138.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $35.53 / $63.00	Facility		$18.32	$35.53	$63.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $39.25 / $1,449.00	Facility		$20.10	$39.25	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $101.97 / $367.25	Professional		$36.47	$101.97	$367.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.36 / $70.00 / $126.19	Professional		$57.36	$70.00	$126.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $35.53 / $63.00	Facility		$18.32	$35.53	$63.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $63.36 / $98.93	Professional		$40.42	$63.36	$98.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Facility		$100.40	$100.40	$100.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $128.21 / $367.25	Professional		$39.63	$128.21	$367.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $115.84 / $193.86	Professional		$76.79	$115.84	$193.86
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 $34.67 / $77.97 / $145.87	Professional		$34.67	$77.97	$145.87