Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $23.62 / $23.62	Facility		$23.62	$23.62	$23.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $34.44 / $89.26	Professional		$23.62	$34.44	$89.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $84.42 / $195.88	Professional		$49.65	$84.42	$195.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $88.31 / $88.31	Professional		$88.31	$88.31	$88.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $34.53 / $85.12	Facility		$23.62	$34.53	$85.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $58.46 / $58.46	Professional		$58.46	$58.46	$58.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $36.85 / $92.39	Facility		$23.62	$36.85	$92.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $380.66 / $380.66 / $380.66	Professional		$380.66	$380.66	$380.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $289.64	Professional		$50.00	$58.40	$289.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $34.44 / $85.12	Facility		$23.62	$34.44	$85.12
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $58.46 / $58.46	Professional		$58.46	$58.46	$58.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $70.98 / $99.00	Professional		$38.68	$70.98	$99.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.15 / $81.89 / $284.16	Facility		$56.15	$81.89	$284.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $337.60 / $380.66	Professional		$128.03	$337.60	$380.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $151.38 / $181.67	Professional		$151.38	$151.38	$181.67