Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $50.06 / $3,119.00	Facility		$22.56	$50.06	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $31.32 / $101.44	Professional		$22.56	$31.32	$101.44
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 $30.32 / $55.25 / $141.59	Professional		$30.32	$55.25	$141.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $97.93 / $150.22	Facility		$83.80	$97.93	$150.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $93.15 / $141.24	Professional		$40.40	$93.15	$141.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $34.52 / $65.08	Facility		$22.56	$34.52	$65.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.32 / $43.96 / $1,449.00	Facility		$24.32	$43.96	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $80.09 / $824.00	Professional		$40.00	$80.09	$824.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $70.00 / $112.02	Professional		$32.94	$70.00	$112.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $34.52 / $65.08	Facility		$22.56	$34.52	$65.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $75.53 / $111.00	Professional		$53.24	$75.53	$111.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $110.49	Facility		$28.58	$28.58	$110.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.01 / $135.09 / $824.00	Professional		$55.01	$135.09	$824.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $84.73 / $123.79	Professional		$45.82	$84.73	$123.79
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 $37.24 / $72.00 / $171.59	Professional		$37.24	$72.00	$171.59