Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $63.78 / $206.88	Facility		$27.50	$63.78	$206.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $49.15 / $97.82	Professional		$27.50	$49.15	$97.82
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 $44.95 / $110.92 / $264.19	Professional		$44.95	$110.92	$264.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.09 / $180.07 / $290.44	Facility		$154.09	$180.07	$290.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.61 / $85.13 / $195.89	Professional		$45.61	$85.13	$195.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $49.02 / $70.48	Facility		$25.08	$49.02	$70.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.08 / $66.04 / $1,789.00	Facility		$25.08	$66.04	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $146.88 / $316.00	Professional		$55.58	$146.88	$316.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $85.00 / $150.12	Professional		$40.93	$85.00	$150.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $35.45 / $70.48	Facility		$22.80	$35.45	$70.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $104.93 / $189.99	Professional		$58.62	$104.93	$189.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $135.88 / $135.88 / $135.88	Facility		$135.88	$135.88	$135.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $245.16 / $428.32	Professional		$42.79	$245.16	$428.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $136.26 / $314.89	Professional		$106.26	$136.26	$314.89
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 $55.58 / $142.88 / $222.01	Professional		$55.58	$142.88	$222.01