Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $91.08 / $162.33	Facility		$42.59	$91.08	$162.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $42.59 / $162.33	Professional		$36.65	$42.59	$162.33
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 $45.30 / $113.99 / $310.64	Professional		$45.30	$113.99	$310.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.34 / $134.79 / $217.41	Facility		$115.34	$134.79	$217.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $138.26 / $182.72	Professional		$83.39	$138.26	$182.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $56.26 / $95.46	Facility		$42.59	$56.26	$95.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.53 / $1,100.00 / $2,043.20	Facility		$44.53	$1,100.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.87 / $120.66 / $259.41	Professional		$51.87	$120.66	$259.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $100.59	Professional		$50.00	$70.00	$100.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $56.26 / $95.46	Facility		$42.59	$56.26	$95.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $132.49 / $190.56	Professional		$85.80	$132.49	$190.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $223.45 / $633.00	Professional		$86.04	$223.45	$633.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $194.74 / $194.74 / $194.74	Professional		$194.74	$194.74	$194.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $187.07 / $244.86 / $244.86	Professional		$187.07	$244.86	$244.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $103.06 / $195.85	Professional		$49.40	$103.06	$195.85