Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $140.47 / $14,482.00	Facility		$42.31	$140.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $42.31 / $112.90	Professional		$36.03	$42.31	$112.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $86.78 / $223.00	Professional		$44.27	$86.78	$223.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $111.62 / $171.23	Facility		$95.52	$111.62	$171.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $135.58 / $155.28	Professional		$58.13	$135.58	$155.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.17 / $54.33 / $109.90	Facility		$38.17	$54.33	$109.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.17 / $64.29 / $1,455.00	Facility		$38.17	$64.29	$1,455.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $96.92 / $496.00	Professional		$44.86	$96.92	$496.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $59.89 / $131.77	Professional		$27.49	$59.89	$131.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $54.33 / $109.90	Facility		$38.39	$54.33	$109.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $93.62 / $157.09	Professional		$70.20	$93.62	$157.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $1,300.00 / $1,300.00	Facility		$44.47	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $352.95 / $496.00	Professional		$70.34	$352.95	$496.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $140.61 / $140.61 / $140.61	Professional		$140.61	$140.61	$140.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $189.57 / $189.57	Professional		$146.86	$189.57	$189.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,590.00 / $2,202.90	Facility		$1,008.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $83.88 / $173.50	Professional		$41.99	$83.88	$173.50