Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $54.49 / $278.16	Facility		$47.39	$54.49	$278.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $43.12 / $126.29	Professional		$24.62	$43.12	$126.29
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 $29.80 / $76.62 / $298.04	Professional		$29.80	$76.62	$298.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.98 / $74.77 / $120.59	Facility		$63.98	$74.77	$120.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $71.79 / $122.39	Professional		$45.66	$71.79	$122.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $34.77 / $51.86	Facility		$25.11	$34.77	$51.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $1,209.00 / $2,090.40	Facility		$25.11	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $89.07 / $252.11	Professional		$51.42	$89.07	$252.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $64.69 / $125.52	Professional		$27.49	$64.69	$125.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $34.77 / $51.86	Facility		$25.11	$34.77	$51.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $77.90 / $104.04	Professional		$52.00	$77.90	$104.04
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 $37.88 / $135.62 / $433.89	Professional		$37.88	$135.62	$433.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $141.97 / $141.97	Professional		$141.97	$141.97	$141.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.94 / $167.20 / $221.88	Professional		$154.94	$167.20	$221.88
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 $44.37 / $109.31 / $204.30	Professional		$44.37	$109.31	$204.30