Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $91.67 / $14,482.00	Facility		$26.76	$91.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $26.76 / $78.30	Professional		$22.68	$26.76	$78.30
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 $28.31 / $55.94 / $108.14	Professional		$28.31	$55.94	$108.14
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 $33.45 / $62.57 / $101.65	Professional		$33.45	$62.57	$101.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $31.31 / $49.77	Facility		$25.15	$31.31	$49.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $618.00 / $2,043.20	Facility		$26.76	$618.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $58.81 / $145.16	Professional		$30.68	$58.81	$145.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $50.00 / $85.00	Professional		$21.51	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $31.31 / $49.77	Facility		$25.15	$31.31	$49.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $66.54 / $84.03	Professional		$48.10	$66.54	$84.03
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 $27.06 / $127.85 / $406.00	Professional		$27.06	$127.85	$406.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $30.78	Professional		$30.78	$30.78	$30.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.29 / $86.64 / $86.64	Professional		$61.29	$86.64	$86.64
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 $30.36 / $62.26 / $98.72	Professional		$30.36	$62.26	$98.72