Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $84.59 / $98.37	Facility		$44.11	$84.59	$98.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $79.98	Professional		$44.11	$44.11	$79.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.25 / $93.27 / $96.74	Facility		$80.25	$93.27	$96.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.95 / $66.29	Professional		$43.65	$45.95	$66.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $95.52 / $136.53	Facility		$46.87	$95.52	$136.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $48.08 / $54.64	Professional		$40.09	$48.08	$54.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $43.38 / $44.11	Facility		$21.39	$43.38	$44.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $65.06	Professional		$7.22	$7.22	$65.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $43.38 / $47.19	Facility		$21.39	$43.38	$47.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $62.91	Professional		$45.95	$45.95	$62.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $65.00 / $85.00	Professional		$43.38	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.39 / $43.38 / $44.11	Facility		$21.39	$43.38	$44.11
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $7.22 / $65.06	Professional		$7.22	$7.22	$65.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $23.76 / $51.77	Professional		$11.10	$23.76	$51.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $235.95	Facility		$46.87	$46.87	$235.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Professional		$46.87	$46.87	$46.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $60.91 / $60.91	Professional		$36.61	$60.91	$60.91
United Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $45.95 / $59.74	Professional		$45.95	$45.95	$59.74