Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.50 / $94.46 / $280.06	Facility		$50.50	$94.46	$280.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $67.42 / $206.12	Professional		$47.72	$67.42	$206.12
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 $64.05 / $161.30 / $352.66	Professional		$64.05	$161.30	$352.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.55 / $239.04 / $385.56	Facility		$204.55	$239.04	$385.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.97 / $152.28 / $261.45	Professional		$83.97	$152.28	$261.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $83.81 / $150.16	Facility		$46.18	$83.81	$150.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $96.68 / $1,778.00	Facility		$50.38	$96.68	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.86 / $196.93 / $372.26	Professional		$77.86	$196.93	$372.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $85.00 / $163.35	Professional		$45.20	$85.00	$163.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $77.54 / $150.16	Facility		$41.98	$77.54	$150.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $167.89 / $260.81	Professional		$108.30	$167.89	$260.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $327.24 / $576.00	Professional		$78.22	$327.24	$576.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $115.38 / $195.11	Professional		$115.38	$115.38	$195.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.74 / $249.08 / $420.31	Professional		$154.74	$249.08	$420.31
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 $70.06 / $165.04 / $292.06	Professional		$70.06	$165.04	$292.06