Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $39.11 / $14,482.00	Facility		$29.17	$39.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.11 / $41.79 / $109.71	Professional		$20.11	$41.79	$109.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $44.36 / $60.44	Professional	50	$14.55	$44.36	$60.44
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 $32.13 / $49.74 / $151.47	Professional		$32.13	$49.74	$151.47
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $46.89 / $74.91 / $236.91	Professional	50	$46.89	$74.91	$236.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $58.97 / $95.12	Facility		$50.46	$58.97	$95.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $47.47 / $108.54	Professional		$26.60	$47.47	$108.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $34.10 / $71.17	Facility		$20.86	$34.10	$71.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $62.80 / $1,789.00	Facility		$20.86	$62.80	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $89.28 / $642.69	Professional		$32.28	$89.28	$642.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $146.50	Professional		$50.00	$70.00	$146.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $35.00 / $78.58	Facility		$20.86	$35.00	$78.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $52.06 / $78.03	Professional		$36.40	$52.06	$78.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $137.69 / $642.69	Professional		$38.26	$137.69	$642.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $183.85 / $241.49	Professional		$64.26	$183.85	$241.49
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 $24.23 / $68.69 / $136.84	Professional		$24.23	$68.69	$136.84