Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $96.59 / $172.15	Facility		$44.95	$96.59	$172.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $44.95 / $159.97	Professional		$38.86	$44.95	$159.97
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 $47.92 / $120.45 / $328.75	Professional		$47.92	$120.45	$328.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $141.11 / $227.60	Facility		$120.75	$141.11	$227.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.44 / $145.16 / $194.23	Professional		$88.44	$145.16	$194.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $59.20 / $100.48	Facility		$44.95	$59.20	$100.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $1,100.00 / $2,043.20	Facility		$47.22	$1,100.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.46 / $126.16 / $274.56	Professional		$54.46	$126.16	$274.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $107.19	Professional		$50.00	$70.00	$107.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $59.20 / $100.48	Facility		$44.95	$59.20	$100.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.65 / $141.52 / $203.55	Professional		$91.65	$141.52	$203.55
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 $90.35 / $236.50 / $660.00	Professional		$90.35	$236.50	$660.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $206.10 / $206.10 / $206.10	Professional		$206.10	$206.10	$206.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.92 / $257.08 / $257.08	Professional		$197.92	$257.08	$257.08
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 $54.38 / $129.83 / $207.29	Professional		$54.38	$129.83	$207.29