Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $104.14 / $105.15	Facility		$47.15	$104.14	$105.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $48.92 / $58.94	Professional		$47.15	$48.92	$58.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.33 / $111.95 / $116.12	Facility		$96.33	$111.95	$116.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $52.07 / $52.07	Professional		$49.12	$52.07	$52.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $69.45 / $144.38	Facility		$52.07	$69.45	$144.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $64.98 / $106.58	Professional		$52.07	$64.98	$106.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $50.10 / $52.07	Facility		$47.15	$50.10	$52.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $78.11 / $78.11	Professional		$78.11	$78.11	$78.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $50.10 / $58.94	Facility		$47.15	$50.10	$58.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $64.83 / $76.62	Professional		$58.94	$64.83	$76.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $164.80	Professional		$50.00	$70.00	$164.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $47.03 / $48.92 / $52.07	Facility		$47.03	$48.92	$52.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $78.11 / $78.11	Professional		$78.11	$78.11	$78.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.41 / $98.41 / $98.41	Professional		$98.41	$98.41	$98.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $52.07 / $260.35	Facility		$52.07	$52.07	$260.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $58.94	Professional		$52.07	$52.07	$58.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.80 / $73.11 / $80.73	Professional		$63.80	$73.11	$80.73
United Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $58.94 / $74.26	Professional		$58.94	$58.94	$74.26