Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.24 / $97.24 / $188.15	Facility		$97.24	$97.24	$188.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $61.63 / $166.49	Professional		$50.00	$61.63	$166.49
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 $57.55 / $105.15 / $389.70	Professional		$57.55	$105.15	$389.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $153.74 / $247.98	Facility		$131.56	$153.74	$247.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.85 / $145.11 / $210.46	Professional		$93.85	$145.11	$210.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $69.06 / $102.08	Facility		$51.61	$69.06	$102.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $1,209.00 / $2,090.40	Facility		$51.61	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $118.89 / $334.98	Professional		$69.04	$118.89	$334.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $65.14 / $165.14	Professional		$27.68	$65.14	$165.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.61 / $69.06 / $102.08	Facility		$51.61	$69.06	$102.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $145.66 / $208.48	Professional		$105.30	$145.66	$208.48
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 $77.89 / $216.36 / $588.60	Professional		$77.89	$216.36	$588.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.63 / $185.63 / $185.63	Professional		$185.63	$185.63	$185.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $207.18 / $343.85 / $343.85	Professional		$207.18	$343.85	$343.85
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 $68.48 / $125.27 / $300.27	Professional		$68.48	$125.27	$300.27