Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $151.06	Facility		$67.73	$67.73	$151.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $67.73 / $84.68	Professional		$67.73	$67.73	$84.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.46 / $129.54 / $134.36	Facility		$111.46	$129.54	$134.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $58.80 / $105.02	Professional		$30.55	$58.80	$105.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $147.43 / $210.74	Facility		$60.25	$147.43	$210.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $56.83 / $77.34	Professional		$50.01	$56.83	$77.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $64.16 / $84.68	Facility		$29.81	$64.16	$84.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $23.51 / $23.51	Professional		$23.51	$23.51	$23.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $64.16 / $84.68	Facility		$29.81	$64.16	$84.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $91.74	Professional		$70.56	$70.56	$91.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $106.72	Professional		$55.00	$65.00	$106.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $29.81 / $64.16 / $84.68	Facility		$29.81	$64.16	$84.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $23.51 / $23.51 / $23.51	Professional		$23.51	$23.51	$23.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $69.42 / $97.36	Professional		$48.60	$69.42	$97.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $374.00	Facility		$60.25	$60.25	$374.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $60.25 / $60.25	Professional		$60.25	$60.25	$60.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $54.15 / $99.00	Professional		$54.15	$54.15	$99.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $96.62	Professional		$70.56	$70.56	$96.62