Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $193.00 / $14,482.00	Facility		$55.91	$193.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $55.91 / $165.35	Professional		$51.13	$55.91	$165.35
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 $50.48 / $115.96 / $224.35	Professional		$50.48	$115.96	$224.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $151.63 / $244.58	Facility		$129.76	$151.63	$244.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $125.40 / $216.18	Professional		$69.34	$125.40	$216.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $65.41 / $178.61	Facility		$55.91	$65.41	$178.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $181.82 / $1,789.00	Facility		$55.91	$181.82	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $123.17 / $304.01	Professional		$64.26	$123.17	$304.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $58.40 / $166.02	Professional		$21.51	$58.40	$166.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $65.41 / $178.61	Facility		$55.91	$65.41	$178.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $144.77 / $182.83	Professional		$104.65	$144.77	$182.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $504.30 / $504.30 / $504.30	Facility		$504.30	$504.30	$504.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $267.75 / $812.00	Professional		$54.24	$267.75	$812.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $61.69 / $61.69	Professional		$61.69	$61.69	$61.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $173.68 / $173.68	Professional		$121.70	$173.68	$173.68
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 $62.99 / $122.89 / $206.75	Professional		$62.99	$122.89	$206.75