Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.93 / $93.93 / $180.01	Facility		$93.93	$93.93	$180.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $68.47 / $230.00	Professional		$46.85	$68.47	$230.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.61 / $101.94 / $382.66	Professional		$55.61	$101.94	$382.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.06 / $148.47 / $239.49	Facility		$127.06	$148.47	$239.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $139.44 / $201.87	Professional		$89.79	$139.44	$201.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $66.73 / $97.83	Facility		$49.38	$66.73	$97.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $1,209.00 / $2,090.40	Facility		$49.38	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $114.75 / $324.41	Professional		$66.30	$114.75	$324.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $65.14 / $161.52	Professional		$27.68	$65.14	$161.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $66.73 / $97.83	Facility		$49.38	$66.73	$97.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $135.78 / $204.74	Professional		$98.15	$135.78	$204.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,294.00 / $5,294.00 / $5,294.00	Facility		$5,294.00	$5,294.00	$5,294.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $207.90 / $558.82	Professional		$74.84	$207.90	$558.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.31 / $330.40 / $330.40	Professional		$199.31	$330.40	$330.40
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 $63.83 / $140.84 / $289.81	Professional		$63.83	$140.84	$289.81