Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $29.25 / $107.75	Facility		$18.87	$29.25	$107.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $30.82 / $107.75	Professional		$18.87	$30.82	$107.75
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 $26.33 / $43.56 / $126.97	Professional		$26.33	$43.56	$126.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $90.56 / $138.91	Facility		$77.50	$90.56	$138.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $73.51 / $134.31	Professional		$33.50	$73.51	$134.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $32.24 / $60.46	Facility		$18.98	$32.24	$60.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $38.38 / $1,449.00	Facility		$20.72	$38.38	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $88.27 / $315.83	Professional		$36.44	$88.27	$315.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $68.36 / $108.59	Professional		$49.36	$68.36	$108.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $31.50 / $60.46	Facility		$18.98	$31.50	$60.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $66.20 / $97.81	Professional		$42.71	$66.20	$97.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.19 / $95.19 / $95.19	Facility		$95.19	$95.19	$95.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.37 / $124.43 / $315.83	Professional		$41.37	$124.43	$315.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $120.89 / $188.12	Professional		$57.91	$120.89	$188.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $73.95 / $154.99	Professional		$33.88	$73.95	$154.99