Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.94 / $175.94 / $392.35	Facility		$175.94	$175.94	$392.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $175.94 / $219.92	Professional		$175.94	$175.94	$219.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.71 / $13.61 / $14.12	Facility		$11.71	$13.61	$14.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $44.53 / $183.26	Professional		$11.88	$44.53	$183.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.86 / $16.22 / $186.93	Facility		$8.86	$16.22	$186.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $19.46 / $22.11	Professional		$6.75	$19.46	$22.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $24.94 / $219.92	Facility		$11.59	$24.94	$219.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $5.34	Professional		$5.34	$5.34	$5.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $24.94 / $219.92	Facility		$11.59	$24.94	$219.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $238.24	Professional		$183.26	$183.26	$238.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $414.69	Professional		$55.00	$65.00	$414.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $24.94 / $219.92	Facility		$11.59	$24.94	$219.92
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $5.34 / $5.34	Professional		$5.34	$5.34	$5.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $26.69 / $38.50	Professional		$12.59	$26.69	$38.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $824.70 / $824.70 / $824.70	Facility		$824.70	$824.70	$824.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $26.85 / $38.79	Professional		$21.22	$26.85	$38.79
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $238.24	Professional		$183.26	$183.26	$238.24