Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $47.26 / $14,482.00	Facility		$29.52	$47.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $46.32 / $84.23	Professional		$28.10	$46.32	$84.23
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 $43.23 / $98.83 / $224.76	Professional		$43.23	$98.83	$224.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.87 / $161.11 / $259.87	Facility		$137.87	$161.11	$259.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $75.69 / $153.69	Professional		$43.59	$75.69	$153.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $47.26 / $73.38	Facility		$29.52	$47.26	$73.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Professional		$34.54	$34.54	$34.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $60.75 / $1,789.00	Facility		$34.51	$60.75	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $116.00 / $227.22	Professional		$55.04	$116.00	$227.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $69.63 / $137.89	Professional		$45.20	$69.63	$137.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $47.26 / $73.38	Facility		$29.52	$47.26	$73.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $34.54 / $34.54	Professional		$34.54	$34.54	$34.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $111.29 / $173.00	Professional		$73.92	$111.29	$173.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $169.72 / $169.72 / $169.72	Facility		$169.72	$169.72	$169.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $205.61 / $327.13	Professional		$46.42	$205.61	$327.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $112.47 / $180.50	Professional		$55.90	$112.47	$180.50
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 $57.67 / $103.08 / $185.55	Professional		$57.67	$103.08	$185.55