Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $114.49 / $119.62	Facility		$51.34	$114.49	$119.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $51.34 / $91.52	Professional		$51.34	$51.34	$91.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $56.42 / $56.42	Professional		$54.55	$56.42	$56.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $144.75 / $206.91	Facility		$54.55	$144.75	$206.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $88.85 / $100.96	Professional		$54.55	$88.85	$100.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $59.81 / $59.81	Facility		$50.01	$59.81	$59.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $89.72	Professional		$18.70	$18.70	$89.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $59.81 / $59.81	Facility		$50.01	$59.81	$59.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $77.25	Professional		$56.42	$56.42	$77.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $131.62	Professional		$65.00	$85.00	$131.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.01 / $59.81 / $59.81	Facility		$50.01	$59.81	$59.81
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $18.70 / $89.72	Professional		$18.70	$18.70	$89.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $90.53 / $90.53 / $90.53	Professional		$90.53	$90.53	$90.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $299.05 / $299.05 / $299.05	Facility		$299.05	$299.05	$299.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.55 / $54.55	Professional		$54.55	$54.55	$54.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $83.97 / $86.08	Professional		$68.03	$83.97	$86.08
United Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $78.98	Professional		$56.42	$56.42	$78.98