Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.02 / $172.04 / $14,482.00	Facility		$59.02	$172.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $59.02 / $170.61	Professional		$38.76	$59.02	$170.61
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 $49.20 / $143.78 / $347.05	Professional		$49.20	$143.78	$347.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.35 / $145.32 / $234.39	Facility		$124.35	$145.32	$234.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $148.74 / $217.61	Professional		$73.59	$148.74	$217.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.26 / $68.88 / $103.76	Facility		$48.26	$68.88	$103.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.91 / $520.07 / $1,789.00	Facility		$57.91	$520.07	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $178.91 / $382.64	Professional		$58.85	$178.91	$382.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $65.14 / $151.22	Professional		$27.49	$65.14	$151.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.09 / $68.88 / $103.76	Facility		$53.09	$68.88	$103.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.35 / $159.00 / $199.53	Professional		$103.35	$159.00	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $269.60 / $659.20	Professional		$67.65	$269.60	$659.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $144.47 / $144.47	Professional		$144.47	$144.47	$144.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $290.29 / $290.29	Professional		$46.42	$290.29	$290.29
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,370.00 / $2,202.90	Facility		$785.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $149.41 / $241.02	Professional		$52.47	$149.41	$241.02