Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $94.73 / $94.73	Facility		$94.73	$94.73	$94.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $94.73 / $167.12	Professional		$91.93	$94.73	$167.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.71 / $166.52 / $480.66	Professional		$99.71	$166.52	$480.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $265.91 / $302.18	Professional		$116.25	$265.91	$302.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $97.59 / $142.10	Facility		$41.06	$97.59	$142.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $79.33 / $79.33	Professional		$79.33	$79.33	$79.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $142.10 / $538.49	Facility		$94.73	$142.10	$538.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.59 / $153.80 / $364.46	Professional		$97.59	$153.80	$364.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $95.64	Professional		$50.00	$65.00	$95.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $97.59 / $142.10	Facility		$41.06	$97.59	$142.10
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $79.33 / $79.33 / $79.33	Professional		$79.33	$79.33	$79.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $249.26 / $445.00	Professional		$169.06	$249.26	$445.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $538.49	Facility		$200.00	$200.00	$538.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $94.04 / $94.04	Professional		$94.04	$94.04	$94.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $216.89 / $216.89	Professional		$132.55	$216.89	$216.89
United Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $181.64 / $390.49	Professional		$99.42	$181.64	$390.49