Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $107.07 / $568.86	Facility		$43.69	$107.07	$568.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $52.18 / $194.39	Professional		$35.56	$52.18	$194.39
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 $41.04 / $66.37 / $171.80	Professional		$41.04	$66.37	$171.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.29 / $99.55 / $257.70	Professional	50	$64.29	$99.55	$257.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.69 / $88.45 / $142.66	Facility		$75.69	$88.45	$142.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $66.66 / $105.08	Professional		$38.79	$66.66	$105.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $42.72 / $73.50	Facility		$28.54	$42.72	$73.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $69.84 / $1,789.00	Facility		$31.67	$69.84	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $99.96 / $830.02	Professional		$45.70	$99.96	$830.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $72.21 / $125.04	Professional		$50.00	$72.21	$125.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.54 / $43.56 / $88.73	Facility		$28.54	$43.56	$88.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $68.11 / $120.82	Professional		$53.32	$68.11	$120.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,922.50 / $2,922.50 / $2,922.50	Facility		$2,922.50	$2,922.50	$2,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $144.40 / $830.02	Professional		$48.71	$144.40	$830.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $99.48 / $279.17 / $282.41	Professional		$99.48	$279.17	$282.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $80.48 / $163.91	Professional		$36.36	$80.48	$163.91