Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.21 / $61.61 / $170.36	Facility		$46.21	$61.61	$170.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $58.15 / $80.13	Professional		$44.94	$58.15	$80.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $79.23 / $180.12	Professional		$59.41	$79.23	$180.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.02 / $202.18 / $310.14	Facility		$173.02	$202.18	$310.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $156.38 / $186.20	Professional		$88.76	$156.38	$186.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $66.89 / $99.04	Facility		$54.36	$66.89	$99.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $55.35	Professional		$55.35	$55.35	$55.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.51 / $67.77 / $99.60	Facility		$52.51	$67.77	$99.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $93.76 / $1,114.04	Professional		$54.02	$93.76	$1,114.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $116.09 / $154.53	Professional		$55.00	$116.09	$154.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $67.17 / $99.04	Facility		$54.36	$67.17	$99.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $55.35 / $55.35 / $55.35	Professional		$55.35	$55.35	$55.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $117.60 / $192.00	Professional		$70.50	$117.60	$192.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.16 / $120.16 / $120.16	Facility		$120.16	$120.16	$120.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $326.60 / $1,114.04	Professional		$174.04	$326.60	$1,114.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $77.91 / $81.58	Professional		$77.91	$77.91	$81.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $221.27 / $231.83	Professional		$78.37	$221.27	$231.83
United Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $86.60 / $180.00	Professional		$54.02	$86.60	$180.00