Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $18.36 / $35.18	Facility		$18.36	$18.36	$35.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $28.38 / $39.43	Professional		$18.05	$28.38	$39.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $45.41 / $118.14	Professional		$23.58	$45.41	$118.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $124.26 / $165.15	Facility		$106.33	$124.26	$165.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $49.51 / $98.03	Professional		$27.19	$49.51	$98.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $35.18 / $50.52	Facility		$18.36	$35.18	$50.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $27.62 / $27.62	Professional		$27.62	$27.62	$27.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $34.29 / $50.71	Facility		$18.36	$34.29	$50.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $75.92 / $242.72	Professional		$40.01	$75.92	$242.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $33.62 / $69.48	Professional		$20.68	$33.62	$69.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.36 / $35.18 / $50.58	Facility		$18.36	$35.18	$50.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $27.62 / $27.62	Professional		$27.62	$27.62	$27.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.35 / $64.90 / $118.81	Professional		$38.35	$64.90	$118.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $38.04 / $97.58	Facility		$26.71	$38.04	$97.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $136.24 / $242.72	Professional		$34.52	$136.24	$242.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.95 / $58.09 / $81.34	Professional		$32.95	$58.09	$81.34
United Facility/Professional Professional Modifier Low / Median / High Price $40.01 / $67.09 / $104.80	Professional		$40.01	$67.09	$104.80