Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $36.38 / $58.40	Facility		$36.38	$36.38	$58.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.38 / $52.55 / $69.41	Professional		$36.38	$52.55	$69.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $80.19 / $203.22	Professional		$46.45	$80.19	$203.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.82 / $204.29 / $271.52	Facility		$174.82	$204.29	$271.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $90.00 / $162.72	Professional		$53.91	$90.00	$162.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $58.40 / $87.31	Facility		$36.38	$58.40	$87.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $46.56 / $46.56	Professional		$46.56	$46.56	$46.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $58.40 / $89.35	Facility		$36.38	$58.40	$89.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $130.84 / $411.10	Professional		$67.81	$130.84	$411.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $66.50 / $132.11	Professional		$40.93	$66.50	$132.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.38 / $58.40 / $87.60	Facility		$36.38	$58.40	$87.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $46.56 / $46.56	Professional		$46.56	$46.56	$46.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $124.80 / $196.65	Professional		$73.48	$124.80	$196.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $76.04 / $193.75	Facility		$52.91	$76.04	$193.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $254.90 / $411.10	Professional		$57.14	$254.90	$411.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $100.07 / $134.96	Professional		$65.86	$100.07	$134.96
United Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $105.58 / $174.40	Professional		$63.88	$105.58	$174.40