Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $42.69 / $42.69	Facility		$42.69	$42.69	$42.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.69 / $50.39 / $68.52	Professional		$42.69	$50.39	$68.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $90.26 / $218.16	Professional		$56.79	$90.26	$218.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $57.43 / $99.88	Facility		$42.69	$57.43	$99.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $47.94 / $47.94	Professional		$47.94	$47.94	$47.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $59.77 / $102.46	Facility		$42.69	$59.77	$102.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.45 / $367.45 / $367.45	Professional		$367.45	$367.45	$367.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $236.39	Professional		$50.00	$65.00	$236.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $56.69 / $101.37	Facility		$42.69	$56.69	$101.37
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $47.94 / $47.94	Professional		$47.94	$47.94	$47.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $133.31 / $185.90	Professional		$72.64	$133.31	$185.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $102.82 / $885.11	Facility		$101.38	$102.82	$885.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $231.35 / $306.35 / $367.45	Professional		$231.35	$306.35	$367.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $144.28	Professional		$120.23	$120.23	$144.28