Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $30.04 / $109.79	Facility		$18.32	$30.04	$109.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $32.57 / $99.70	Professional		$18.32	$32.57	$99.70
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 $26.84 / $42.27 / $116.64	Professional		$26.84	$42.27	$116.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.27 / $63.40 / $179.92	Professional	50	$40.27	$63.40	$179.92
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 $32.70 / $72.59 / $136.84	Professional		$32.70	$72.59	$136.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $32.86 / $61.61	Facility		$18.32	$32.86	$61.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $37.90 / $1,449.00	Facility		$20.22	$37.90	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $92.78 / $315.83	Professional		$36.47	$92.78	$315.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.85 / $68.39 / $109.69	Professional		$49.85	$68.39	$109.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $32.86 / $61.61	Facility		$18.32	$32.86	$61.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $63.84 / $98.93	Professional		$41.19	$63.84	$98.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $95.33 / $95.33	Facility		$95.33	$95.33	$95.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $126.77 / $315.83	Professional		$39.63	$126.77	$315.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $115.84 / $191.71	Professional		$60.69	$115.84	$191.71
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 $34.27 / $67.64 / $141.79	Professional		$34.27	$67.64	$141.79