Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $187.98 / $250.64	Facility		$67.14	$187.98	$250.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $67.14 / $119.66	Professional		$67.14	$67.14	$119.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.84 / $269.44 / $279.45	Facility		$231.84	$269.44	$279.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $71.33	Professional		$46.67	$46.67	$71.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $87.41 / $254.46	Facility		$47.60	$87.41	$254.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $131.52 / $159.61	Professional		$47.60	$131.52	$159.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $125.32 / $125.32	Facility		$67.14	$125.32	$125.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $187.98 / $187.98 / $187.98	Professional		$187.98	$187.98	$187.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $116.41 / $125.32	Facility		$67.14	$116.41	$125.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $111.89	Professional		$69.93	$69.93	$111.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $305.77	Professional		$50.00	$65.00	$305.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $125.32 / $125.32	Facility		$67.14	$125.32	$125.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $187.98 / $187.98 / $187.98	Professional		$187.98	$187.98	$187.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.24 / $194.24 / $194.24	Professional		$194.24	$194.24	$194.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $1,382.85	Facility		$47.60	$47.60	$1,382.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $175.95 / $175.95 / $338.75	Professional		$175.95	$175.95	$338.75
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $70.01	Professional		$46.67	$46.67	$70.01