Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $23.96 / $42.71	Facility		$12.78	$23.96	$42.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $15.85 / $52.65	Professional		$10.99	$15.85	$52.65
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 $15.12 / $37.29 / $76.69	Professional		$15.12	$37.29	$76.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $71.34	Facility		$37.85	$44.23	$71.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $34.68 / $53.82	Professional		$19.34	$34.68	$53.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $16.12 / $42.00	Facility		$12.78	$16.12	$42.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $28.23 / $1,778.00	Facility		$12.78	$28.23	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $46.70 / $83.42	Professional		$17.78	$46.70	$83.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.05 / $50.00 / $85.00	Professional		$36.05	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $16.12 / $42.00	Facility		$12.78	$16.12	$42.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $37.74 / $49.46	Professional		$27.15	$37.74	$49.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.82 / $63.82 / $63.82	Facility		$63.82	$63.82	$63.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $59.80 / $297.00	Professional		$18.09	$59.80	$297.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $15.50 / $19.07	Professional		$15.50	$15.50	$19.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $75.23 / $94.98	Professional		$15.75	$75.23	$94.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $39.04 / $68.26	Professional		$17.64	$39.04	$68.26