Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.23 / $83.23 / $185.60	Facility		$83.23	$83.23	$185.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $83.23 / $104.04	Professional		$83.23	$83.23	$104.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $86.70 / $260.38	Professional		$82.84	$86.70	$260.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $225.16 / $321.85	Facility		$88.43	$225.16	$321.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $135.60 / $154.09	Professional		$94.50	$135.60	$154.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $91.90 / $173.94	Facility		$80.81	$91.90	$173.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $62.53 / $137.85	Professional		$62.53	$62.53	$137.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $91.90 / $173.94	Facility		$80.81	$91.90	$173.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $118.71	Professional		$86.70	$86.70	$118.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $304.74	Professional		$65.00	$85.00	$304.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $91.90 / $173.94	Facility		$80.81	$91.90	$173.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $62.53 / $137.85	Professional		$62.53	$62.53	$137.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $186.10 / $268.39	Professional		$87.77	$186.10	$268.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $437.90	Facility		$88.43	$88.43	$437.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.86 / $147.86 / $270.35	Professional		$147.86	$147.86	$270.35
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $121.38	Professional		$86.70	$86.70	$121.38