Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $211.36 / $218.90	Facility		$98.16	$211.36	$218.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $174.96	Professional		$98.16	$98.16	$174.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $53.59 / $104.32	Professional		$27.84	$53.59	$104.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $262.69 / $375.50	Facility		$108.39	$262.69	$375.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $51.78 / $137.81	Professional		$45.56	$51.78	$137.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $99.69 / $108.39	Facility		$58.46	$99.69	$108.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $162.59	Professional		$4.01	$4.01	$162.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $99.69 / $108.39	Facility		$58.46	$99.69	$108.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $162.59	Professional		$122.70	$122.70	$162.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $78.05 / $85.00	Professional		$65.00	$78.05	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $99.69 / $108.39	Facility		$58.46	$99.69	$108.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $4.01 / $162.59	Professional		$4.01	$4.01	$162.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $64.68 / $93.12	Professional		$44.28	$64.68	$93.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $541.95 / $541.95 / $541.95	Facility		$541.95	$541.95	$541.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $128.91 / $152.18 / $152.18	Professional		$128.91	$152.18	$152.18
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $159.51	Professional		$122.70	$122.70	$159.51