Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $63.90 / $142.50	Facility		$63.90	$63.90	$142.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $63.90 / $79.87	Professional		$63.90	$63.90	$79.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $71.48 / $249.70	Professional		$66.56	$71.48	$249.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $49.56 / $70.25	Facility		$27.09	$49.56	$70.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $130.03 / $147.76	Professional		$21.24	$130.03	$147.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $79.87 / $166.80	Facility		$63.90	$79.87	$166.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Professional		$10.69	$10.69	$10.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $79.87 / $166.80	Facility		$63.90	$79.87	$166.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $79.88	Professional		$66.56	$66.56	$79.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $116.12	Professional		$55.00	$65.00	$116.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $79.87 / $166.80	Facility		$63.90	$79.87	$166.80
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $10.69	Professional		$10.69	$10.69	$10.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $178.47 / $257.39	Professional		$84.17	$178.47	$257.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $339.50	Facility		$67.89	$67.89	$339.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.31 / $141.31 / $258.37	Professional		$141.31	$141.31	$258.37
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $91.97	Professional		$66.56	$66.56	$91.97