Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $22.86 / $73.02	Facility		$11.04	$22.86	$73.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $21.08 / $63.59	Professional		$11.04	$21.08	$63.59
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 $16.46 / $25.48 / $74.45	Professional		$16.46	$25.48	$74.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $24.69 / $38.22 / $112.99	Professional	50	$24.69	$38.22	$112.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $44.67 / $89.48	Professional		$20.32	$44.67	$89.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $21.85 / $40.61	Facility		$11.04	$21.85	$40.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $24.40 / $1,449.00	Facility		$12.19	$24.40	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $60.08 / $200.13	Professional		$24.05	$60.08	$200.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $58.40 / $85.00	Professional		$26.50	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $21.85 / $40.61	Facility		$11.04	$21.85	$40.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $42.24 / $66.33	Professional		$25.17	$42.24	$66.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.68 / $64.68 / $64.68	Facility		$64.68	$64.68	$64.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $82.89 / $200.13	Professional		$24.34	$82.89	$200.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $71.09 / $125.32	Professional		$40.26	$71.09	$125.32
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 $21.80 / $41.63 / $88.77	Professional		$21.80	$41.63	$88.77