Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $63.64 / $380.97	Facility		$21.14	$63.64	$380.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $36.85 / $148.80	Professional		$35.52	$36.85	$148.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $51.89 / $170.74	Professional		$37.00	$51.89	$170.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.74 / $128.66 / $183.92	Facility		$37.74	$128.66	$183.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $88.90 / $101.03	Professional		$54.00	$88.90	$101.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $44.40 / $114.06	Facility		$35.52	$44.40	$114.06
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $46.23 / $46.23	Professional		$46.23	$46.23	$46.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $44.40 / $88.01	Facility		$35.52	$44.40	$88.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $55.50	Professional		$37.00	$37.00	$55.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $189.70	Professional		$55.00	$65.00	$189.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $44.40 / $114.06	Facility		$35.52	$44.40	$114.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $46.23 / $46.23	Professional		$46.23	$46.23	$46.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $122.03 / $176.00	Professional		$57.55	$122.03	$176.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $282.38 / $282.38 / $282.38	Facility		$282.38	$282.38	$282.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $37.74 / $37.74	Professional		$37.74	$37.74	$37.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $96.71 / $122.37 / $176.83	Professional		$96.71	$122.37	$176.83
United Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $37.00 / $55.50	Professional		$37.00	$37.00	$55.50