Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $76.05 / $14,482.00	Facility		$38.00	$76.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $39.61 / $128.81	Professional		$35.47	$39.61	$128.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $99.09 / $258.83	Professional		$37.83	$99.09	$258.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $112.67 / $181.74	Facility		$96.42	$112.67	$181.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $116.66 / $172.88	Professional		$55.39	$116.66	$172.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.18 / $49.95 / $96.56	Facility		$37.18	$49.95	$96.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $4,103.00 / $8,384.00	Facility		$38.00	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $102.80 / $258.48	Professional		$44.78	$102.80	$258.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $58.40 / $113.16	Professional		$27.49	$58.40	$113.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $52.96 / $96.56	Facility		$38.00	$52.96	$96.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $111.41 / $155.66	Professional		$72.15	$111.41	$155.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $5,444.45 / $5,444.45	Facility		$5,444.45	$5,444.45	$5,444.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $186.90 / $914.31	Professional		$51.99	$186.90	$914.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $193.89 / $193.89 / $193.89	Professional		$193.89	$193.89	$193.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $220.58 / $220.58	Professional		$183.95	$220.58	$220.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $114.89 / $181.15	Professional		$43.03	$114.89	$181.15