Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $63.55 / $63.55	Facility		$63.55	$63.55	$63.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $66.37 / $82.55	Professional		$56.59	$66.37	$82.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $84.23 / $244.56	Professional		$66.89	$84.23	$244.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.13 / $211.66 / $281.31	Facility		$181.13	$211.66	$281.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $95.73 / $194.58	Professional		$61.30	$95.73	$194.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $72.87 / $137.86	Facility		$59.93	$72.87	$137.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $50.19 / $50.19	Professional		$50.19	$50.19	$50.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.74 / $72.87 / $140.35	Facility		$59.74	$72.87	$140.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.97 / $119.78 / $440.72	Professional		$74.97	$119.78	$440.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $98.49 / $139.02	Professional		$50.00	$98.49	$139.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $59.93 / $72.87 / $137.86	Facility		$59.93	$72.87	$137.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $50.19 / $50.19	Professional		$50.19	$50.19	$50.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.93 / $162.49 / $226.60	Professional		$88.93	$162.49	$226.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.36 / $131.56 / $344.74	Facility		$83.36	$131.56	$344.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $356.80 / $440.72	Professional		$61.30	$356.80	$440.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $83.69 / $83.69	Professional		$83.69	$83.69	$83.69
Security Health Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $99.57 / $99.57	Facility		$99.57	$99.57	$99.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.61 / $142.66 / $142.66	Professional		$89.61	$142.66	$142.66
United Facility/Professional Professional Modifier Low / Median / High Price $71.36 / $113.49 / $234.55	Professional		$71.36	$113.49	$234.55