Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $28.90 / $3,708.48	Facility		$28.90	$28.90	$3,708.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $28.90 / $48.73	Professional		$22.16	$28.90	$48.73
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 $31.31 / $45.02 / $109.67	Professional		$31.31	$45.02	$109.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $97.93 / $157.96	Facility		$83.80	$97.93	$157.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $51.30 / $58.30	Professional		$27.97	$51.30	$58.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $33.07 / $62.61	Facility		$28.90	$33.07	$62.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $1,124.00 / $2,043.20	Facility		$29.12	$1,124.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $73.98 / $152.09	Professional		$33.92	$73.98	$152.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $64.69 / $85.00	Professional		$21.51	$64.69	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $33.07 / $62.61	Facility		$28.90	$33.07	$62.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $74.15 / $106.75	Professional		$39.54	$74.15	$106.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $158.63 / $158.63 / $158.63	Facility		$158.63	$158.63	$158.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $160.85 / $201.47	Professional		$27.97	$160.85	$201.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $161.56 / $161.56	Professional		$72.78	$161.56	$161.56
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 $30.88 / $69.45 / $124.21	Professional		$30.88	$69.45	$124.21