Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.64 / $59.06 / $283.58	Facility		$46.64	$59.06	$283.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $62.65 / $84.01	Professional		$50.50	$62.65	$84.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $67.45 / $213.54	Professional		$51.98	$67.45	$213.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.94 / $224.30 / $344.07	Facility		$191.94	$224.30	$344.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $100.90 / $242.58	Professional		$51.00	$100.90	$242.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $71.03 / $106.08	Facility		$62.19	$71.03	$106.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $53.63 / $53.63	Professional		$53.63	$53.63	$53.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $71.03 / $107.07	Facility		$62.19	$71.03	$107.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $131.27 / $445.68	Professional		$7.01	$131.27	$445.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $88.06 / $207.99	Professional		$59.53	$88.06	$207.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.19 / $71.08 / $106.09	Facility		$62.19	$71.08	$106.09
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $53.63 / $53.63	Professional		$53.63	$53.63	$53.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $135.00 / $216.12	Professional		$80.93	$135.00	$216.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $155.94 / $155.94 / $155.94	Facility		$155.94	$155.94	$155.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $310.10 / $445.68	Professional		$53.00	$310.10	$445.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $177.40 / $199.15	Professional		$90.12	$177.40	$199.15
United Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $89.22 / $217.93	Professional		$6.13	$89.22	$217.93