Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $90.87 / $90.87	Facility		$40.75	$90.87	$90.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $42.19 / $50.94	Professional		$40.75	$42.19	$50.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $87.14 / $90.38	Facility		$74.98	$87.14	$90.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $52.22 / $133.59	Professional		$35.65	$52.22	$133.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $82.46 / $143.05	Facility		$28.87	$82.46	$143.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $44.52 / $73.45	Professional		$28.87	$44.52	$73.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $42.28 / $53.49	Facility		$34.78	$42.28	$53.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $29.39 / $29.39	Professional		$29.39	$29.39	$29.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $41.26 / $55.01	Facility		$34.78	$41.26	$55.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $45.12 / $227.88	Professional		$40.53	$45.12	$227.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $124.51	Professional		$50.00	$70.00	$124.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $40.75 / $55.01	Facility		$34.78	$40.75	$55.01
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $29.39 / $29.39 / $29.39	Professional		$29.39	$29.39	$29.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $82.82 / $113.59	Professional		$56.70	$82.82	$113.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $2,036.20	Facility		$28.87	$28.87	$2,036.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $179.80 / $227.88	Professional		$28.87	$179.80	$227.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $63.23 / $115.62	Professional		$63.23	$63.23	$115.62
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $42.56 / $48.23	Professional		$40.53	$42.56	$48.23