Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $70.13 / $14,482.00	Facility		$41.51	$70.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $41.51 / $179.00	Professional		$31.48	$41.51	$179.00
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 $34.08 / $92.81 / $202.52	Professional		$34.08	$92.81	$202.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.21 / $104.25 / $168.15	Facility		$89.21	$104.25	$168.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $105.46 / $159.83	Professional		$49.16	$105.46	$159.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $50.97 / $237.15	Facility		$37.40	$50.97	$237.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.93 / $237.15 / $1,789.00	Facility		$37.93	$237.15	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $120.17 / $239.50	Professional		$40.25	$120.17	$239.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $58.40 / $102.20	Professional		$27.49	$58.40	$102.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $50.97 / $237.15	Facility		$37.40	$50.97	$237.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $103.38 / $136.83	Professional		$66.95	$103.38	$136.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,315.00 / $1,315.00 / $1,315.00	Facility		$1,315.00	$1,315.00	$1,315.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $168.75 / $578.41	Professional		$47.96	$168.75	$578.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $205.79 / $205.79	Professional		$87.40	$205.79	$205.79
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 $40.40 / $103.50 / $150.86	Professional		$40.40	$103.50	$150.86