Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.54 / $29.59 / $109.39	Facility		$19.54	$29.59	$109.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $35.97 / $96.27	Professional		$19.54	$35.97	$96.27
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 $26.95 / $45.10 / $128.00	Professional		$26.95	$45.10	$128.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $92.67 / $142.15	Facility		$79.30	$92.67	$142.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $79.64 / $136.94	Professional		$34.90	$79.64	$136.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $31.87 / $61.38	Facility		$19.63	$31.87	$61.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $39.36 / $1,449.00	Facility		$20.14	$39.36	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $88.14 / $319.50	Professional		$36.67	$88.14	$319.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $66.22 / $104.88	Professional		$47.67	$66.22	$104.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $31.87 / $61.38	Facility		$19.63	$31.87	$61.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $67.00 / $100.05	Professional		$44.99	$67.00	$100.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.29 / $89.29 / $89.29	Facility		$89.29	$89.29	$89.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $126.86 / $319.50	Professional		$43.37	$126.86	$319.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $126.77 / $191.78	Professional		$60.35	$126.77	$191.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $75.15 / $136.38	Professional		$33.35	$75.15	$136.38