Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $69.95 / $3,119.00	Facility		$31.60	$69.95	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $43.71 / $164.37	Professional		$32.90	$43.71	$164.37
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 $42.48 / $77.39 / $198.10	Professional		$42.48	$77.39	$198.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.34 / $134.79 / $206.77	Facility		$115.34	$134.79	$206.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $131.62 / $196.00	Professional		$56.68	$131.62	$196.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $48.35 / $90.82	Facility		$32.15	$48.35	$90.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $60.72 / $1,449.00	Facility		$33.86	$60.72	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $114.69 / $1,030.00	Professional		$55.66	$114.69	$1,030.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $73.76 / $156.20	Professional		$40.99	$73.76	$156.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $48.06 / $90.82	Facility		$32.15	$48.06	$90.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.39 / $105.43 / $153.58	Professional		$74.39	$105.43	$153.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $39.88 / $154.38	Facility		$39.88	$39.88	$154.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $187.47 / $1,030.00	Professional		$77.64	$187.47	$1,030.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $117.07 / $185.69	Professional		$63.94	$117.07	$185.69
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 $51.49 / $97.60 / $198.03	Professional		$51.49	$97.60	$198.03