Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $47.66 / $47.66	Facility		$47.66	$47.66	$47.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.53 / $51.21 / $125.43	Professional		$43.53	$51.21	$125.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $83.79 / $242.10	Professional		$50.17	$83.79	$242.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $136.18 / $154.75	Professional		$60.00	$136.18	$154.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $54.96 / $71.48	Facility		$19.89	$54.96	$71.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $43.38 / $43.38	Professional		$43.38	$43.38	$43.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.66 / $71.48 / $275.83	Facility		$47.66	$71.48	$275.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $76.95 / $186.12	Professional		$49.96	$76.95	$186.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $58.40 / $65.00	Professional		$39.56	$58.40	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.89 / $54.96 / $71.48	Facility		$19.89	$54.96	$71.48
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $43.38 / $43.38	Professional		$43.38	$43.38	$43.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $127.00 / $227.88	Professional		$86.14	$127.00	$227.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.42 / $102.42 / $275.83	Facility		$102.42	$102.42	$275.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $47.91 / $47.91	Professional		$47.91	$47.91	$47.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $111.06 / $129.11	Professional		$109.74	$111.06	$129.11
United Facility/Professional Professional Modifier Low / Median / High Price $52.51 / $89.51 / $186.12	Professional		$52.51	$89.51	$186.12