Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $24.21 / $43.15	Facility		$11.36	$24.21	$43.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.36 / $41.02	Professional		$9.77	$11.36	$41.02
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 $12.13 / $30.50 / $83.24	Professional		$12.13	$30.50	$83.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $35.79 / $57.75	Facility		$30.64	$35.79	$57.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $36.67 / $48.92	Professional		$22.17	$36.67	$48.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $14.76 / $25.45	Facility		$11.36	$14.76	$25.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.84 / $1,100.00 / $2,043.20	Facility		$11.84	$1,100.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $32.78 / $119.00	Professional		$13.94	$32.78	$119.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $50.00 / $85.00	Professional		$16.54	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $14.76 / $25.45	Facility		$11.36	$14.76	$25.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $35.13 / $50.53	Professional		$22.75	$35.13	$50.53
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 $22.82 / $59.90 / $660.00	Professional		$22.82	$59.90	$660.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $52.17 / $52.17	Professional		$52.17	$52.17	$52.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.05 / $64.95 / $64.95	Professional		$50.05	$64.95	$64.95
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 $13.94 / $37.65 / $52.50	Professional		$13.94	$37.65	$52.50