Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $69.15 / $115.60	Facility		$51.84	$69.15	$115.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $51.84 / $92.39	Professional		$51.84	$51.84	$92.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.00 / $71.80	Professional		$36.31	$54.00	$71.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.48 / $86.13 / $123.12	Facility		$47.48	$86.13	$123.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $55.31 / $62.85	Professional		$36.15	$55.31	$62.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.46 / $51.84	Facility		$19.95	$35.46	$51.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $6.94 / $53.19	Professional		$6.94	$6.94	$53.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.46 / $51.84	Facility		$19.95	$35.46	$51.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $70.20	Professional		$54.00	$54.00	$70.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $65.00 / $85.00	Professional		$35.46	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $35.46 / $51.84	Facility		$19.95	$35.46	$51.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $6.94 / $53.19	Professional		$6.94	$6.94	$53.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $22.18 / $48.81	Professional		$10.36	$22.18	$48.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.08 / $55.08 / $243.00	Facility		$55.08	$55.08	$243.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $55.08 / $55.08	Professional		$55.08	$55.08	$55.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $49.79 / $49.79	Professional		$37.86	$49.79	$49.79
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $81.00	Professional		$54.00	$54.00	$81.00