Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $1,894.00 / $14,482.00	Facility		$34.36	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $34.36 / $46.48	Professional		$23.57	$34.36	$46.48
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 $21.08 / $61.22 / $164.50	Professional		$21.08	$61.22	$164.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $182.17 / $293.83	Facility		$155.88	$182.17	$293.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $117.61 / $248.90	Professional		$65.61	$117.61	$248.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $49.67 / $115.91	Facility		$34.36	$49.67	$115.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.84 / $621.88 / $1,789.00	Facility		$39.84	$621.88	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $69.16 / $145.01	Professional		$25.09	$69.16	$145.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $49.67 / $115.91	Facility		$34.36	$49.67	$115.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $117.53 / $169.20	Professional		$48.20	$117.53	$169.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.35 / $741.35 / $741.35	Facility		$741.35	$741.35	$741.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $220.55 / $333.00	Professional		$52.46	$220.55	$333.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $186.20 / $186.20	Professional		$186.20	$186.20	$186.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $212.47 / $212.47 / $212.47	Professional		$212.47	$212.47	$212.47
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 $25.33 / $69.92 / $126.56	Professional		$25.33	$69.92	$126.56