Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $58.54 / $60.61	Facility		$27.18	$58.54	$60.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $27.18 / $78.52	Professional		$27.18	$27.18	$78.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.54 / $64.54 / $66.94	Facility		$55.54	$64.54	$66.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $69.77	Professional		$28.32	$28.32	$69.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.88 / $72.81 / $104.09	Facility		$28.88	$72.81	$104.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $46.15 / $52.44	Professional		$30.56	$46.15	$52.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $30.02 / $30.02	Facility		$27.18	$30.02	$30.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $25.66 / $45.03	Professional		$25.66	$25.66	$45.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $30.02 / $30.02	Facility		$27.18	$30.02	$30.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $38.78	Professional		$28.32	$28.32	$38.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $65.00 / $85.00	Professional		$30.02	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $30.02 / $30.02	Facility		$27.18	$30.02	$30.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $25.66 / $45.03	Professional		$25.66	$25.66	$45.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $65.62 / $65.62	Professional		$65.62	$65.62	$65.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $150.10 / $150.10 / $150.10	Facility		$150.10	$150.10	$150.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $28.88	Professional		$28.88	$28.88	$28.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $42.15 / $42.15	Professional		$42.15	$42.15	$42.15
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $28.32 / $42.48	Professional		$28.32	$28.32	$42.48