Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.89 / $96.89 / $96.89	Facility		$96.89	$96.89	$96.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $89.92 / $338.92	Professional		$71.56	$89.92	$338.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.00 / $393.00 / $1,475.00	Facility		$262.00	$393.00	$1,475.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.61 / $108.83 / $294.74	Professional		$75.61	$108.83	$294.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.75 / $236.93 / $363.46	Facility		$202.75	$236.93	$363.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $174.90 / $256.75	Professional		$89.12	$174.90	$256.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.54 / $91.66 / $135.65	Facility		$78.54	$91.66	$135.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $95.14 / $195.42	Facility		$78.95	$95.14	$195.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $132.91 / $579.79	Professional		$81.56	$132.91	$579.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $274.97	Professional		$50.00	$65.00	$274.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.54 / $91.66 / $123.81	Facility		$78.54	$91.66	$123.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $215.34 / $295.33	Professional		$147.41	$215.34	$295.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $304.00 / $1,105.00	Facility		$101.77	$304.00	$1,105.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.28 / $387.45 / $579.79	Professional		$97.28	$387.45	$579.79
Security Health Facility/Professional Facility Modifier Low / Median / High Price $475.60 / $475.60 / $475.60	Facility		$475.60	$475.60	$475.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $118.12 / $125.06 / $231.29	Professional		$118.12	$125.06	$231.29
United Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $119.78 / $256.45	Professional		$76.19	$119.78	$256.45