Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $149.22 / $332.78	Facility		$149.22	$149.22	$332.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.22 / $186.54	Professional		$149.22	$149.22	$186.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $111.71 / $115.87	Facility		$96.13	$111.71	$115.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $155.44 / $158.56	Professional		$45.49	$155.44	$158.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.44 / $128.86 / $182.64	Facility		$70.44	$128.86	$182.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.23 / $74.47 / $84.63	Professional		$55.23	$74.47	$84.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.38 / $58.67 / $186.54	Facility		$44.38	$58.67	$186.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.47 / $34.47	Professional		$34.47	$34.47	$34.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.38 / $49.78 / $186.54	Facility		$44.38	$49.78	$186.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $202.09	Professional		$155.44	$155.44	$202.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $593.69	Professional		$55.00	$65.00	$593.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.38 / $58.67 / $186.54	Facility		$44.38	$58.67	$186.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $34.47 / $34.47	Professional		$34.47	$34.47	$34.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $102.20 / $147.40	Professional		$48.20	$102.20	$147.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $683.14 / $683.14 / $683.14	Facility		$683.14	$683.14	$683.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $81.01 / $148.10	Professional		$81.01	$81.01	$148.10
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $212.84	Professional		$155.44	$155.44	$212.84