Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $75.06 / $14,482.00	Facility		$54.19	$75.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.08 / $58.26 / $166.74	Professional		$41.08	$58.26	$166.74
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 $50.09 / $81.77 / $205.22	Professional		$50.09	$81.77	$205.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $79.73 / $122.65 / $308.66	Professional	50	$79.73	$122.65	$308.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $118.99 / $191.93	Facility		$101.83	$118.99	$191.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $85.68 / $139.84	Professional		$46.31	$85.68	$139.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $55.07 / $83.74	Facility		$37.54	$55.07	$83.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $70.83 / $1,789.00	Facility		$38.79	$70.83	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $125.72 / $884.15	Professional		$54.40	$125.72	$884.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $63.30 / $142.07	Professional		$39.56	$63.30	$142.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $55.25 / $108.51	Facility		$37.54	$55.25	$108.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $90.29 / $134.78	Professional		$69.55	$90.29	$134.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $250.98 / $250.98 / $250.98	Facility		$250.98	$250.98	$250.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $180.30 / $884.15	Professional		$64.08	$180.30	$884.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $113.69 / $349.72 / $375.96	Professional		$113.69	$349.72	$375.96
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 $48.20 / $103.83 / $198.44	Professional		$48.20	$103.83	$198.44