Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $57.29 / $102.10	Facility		$26.96	$57.29	$102.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.96 / $102.10	Professional		$22.91	$26.96	$102.10
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 $28.77 / $72.17 / $196.88	Professional		$28.77	$72.17	$196.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $85.30 / $137.58	Facility		$72.98	$85.30	$137.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $87.09 / $116.54	Professional		$52.45	$87.09	$116.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $35.54 / $60.86	Facility		$26.96	$35.54	$60.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $1,100.00 / $2,043.20	Facility		$28.01	$1,100.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $77.88 / $164.44	Professional		$33.35	$77.88	$164.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $67.92 / $85.00	Professional		$39.17	$67.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $35.54 / $60.86	Facility		$26.96	$35.54	$60.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $83.31 / $119.82	Professional		$53.95	$83.31	$119.82
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 $54.20 / $141.65 / $802.60	Professional		$54.20	$141.65	$802.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.41 / $123.41 / $123.41	Professional		$123.41	$123.41	$123.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $118.86 / $154.22 / $154.22	Professional		$118.86	$154.22	$154.22
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 $32.77 / $77.88 / $160.37	Professional		$32.77	$77.88	$160.37