Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $82.94 / $147.81	Facility		$38.65	$82.94	$147.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $38.65 / $138.62	Professional		$33.45	$38.65	$138.62
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 $41.26 / $103.83 / $283.44	Professional		$41.26	$103.83	$283.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.63 / $121.10 / $195.33	Facility		$103.63	$121.10	$195.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $124.85 / $166.89	Professional		$75.92	$124.85	$166.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $50.71 / $84.78	Facility		$38.65	$50.71	$84.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $1,100.00 / $2,043.20	Facility		$40.54	$1,100.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $105.09 / $236.71	Professional		$47.43	$105.09	$236.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $92.75	Professional		$50.00	$70.00	$92.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $50.71 / $84.78	Facility		$38.65	$50.71	$84.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $120.44 / $173.23	Professional		$78.00	$120.44	$173.23
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 $77.70 / $203.90 / $1,017.00	Professional		$77.70	$203.90	$1,017.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.68 / $177.68 / $177.68	Professional		$177.68	$177.68	$177.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $170.38 / $221.09 / $221.09	Professional		$170.38	$221.09	$221.09
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 $47.12 / $101.87 / $178.72	Professional		$47.12	$101.87	$178.72