Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.24 / $62.24 / $138.80	Facility		$62.24	$62.24	$138.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $62.24 / $86.92	Professional		$55.20	$62.24	$86.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.49 / $96.23 / $243.33	Professional		$58.49	$96.23	$243.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $130.44 / $186.47	Facility		$49.22	$130.44	$186.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $99.47 / $113.04	Professional		$54.75	$99.47	$113.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.94 / $62.24 / $93.36	Facility		$46.94	$62.24	$93.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $41.15 / $41.15	Professional		$41.15	$41.15	$41.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $93.36 / $316.83	Facility		$55.20	$93.36	$316.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $14.46 / $30.37	Professional		$12.29	$14.46	$30.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $212.25	Professional		$55.00	$65.00	$212.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.94 / $62.24 / $93.36	Facility		$46.94	$62.24	$93.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $41.15 / $41.15	Professional		$41.15	$41.15	$41.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $141.19 / $196.90	Professional		$96.66	$141.19	$196.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.04 / $114.04 / $316.83	Facility		$114.04	$114.04	$316.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Professional		$49.22	$49.22	$49.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $127.07 / $197.48	Professional		$108.01	$127.07	$197.48
United Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.22 / $25.95	Professional		$13.79	$16.22	$25.95