Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $76.48 / $278.16	Facility		$66.51	$76.48	$278.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $66.51 / $268.87	Professional		$36.86	$66.51	$268.87
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 $49.22 / $159.69 / $558.32	Professional		$49.22	$159.69	$558.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $105.30 / $169.85	Facility		$90.11	$105.30	$169.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $112.19 / $274.02	Professional		$65.34	$112.19	$274.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $59.33 / $149.54	Facility		$34.96	$59.33	$149.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $1,209.00 / $2,090.40	Facility		$34.96	$1,209.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $274.02 / $704.68	Professional		$138.74	$274.02	$704.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $66.50 / $347.46	Professional		$31.78	$66.50	$347.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.96 / $59.33 / $149.54	Facility		$34.96	$59.33	$149.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $110.41 / $281.33	Professional		$83.89	$110.41	$281.33
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 $52.99 / $395.65 / $704.68	Professional		$52.99	$395.65	$704.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $233.94 / $233.94 / $591.15	Professional		$233.94	$233.94	$591.15
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 $120.69 / $271.83 / $662.82	Professional		$120.69	$271.83	$662.82