Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.17 / $76.77 / $1,894.00	Facility		$31.17	$76.77	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $38.39 / $161.65	Professional		$29.12	$38.39	$161.65
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 $36.69 / $91.12 / $199.85	Professional		$36.69	$91.12	$199.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.22 / $114.78 / $185.14	Facility		$98.22	$114.78	$185.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $84.26 / $132.11	Professional		$45.73	$84.26	$132.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $41.54 / $73.36	Facility		$30.92	$41.54	$73.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.17 / $55.41 / $1,778.00	Facility		$31.17	$55.41	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $122.34 / $460.43	Professional		$43.93	$122.34	$460.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $85.00 / $147.84	Professional		$40.93	$85.00	$147.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $41.54 / $73.36	Facility		$30.92	$41.54	$73.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $90.92 / $127.03	Professional		$64.87	$90.92	$127.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $130.19 / $130.19	Facility		$130.19	$130.19	$130.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $158.54 / $499.45	Professional		$43.93	$158.54	$499.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $153.88 / $203.60	Professional		$92.16	$153.88	$203.60
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 $43.06 / $111.42 / $162.11	Professional		$43.06	$111.42	$162.11