Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.92 / $127.92 / $129.16	Facility		$57.92	$127.92	$129.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.92 / $60.09 / $72.40	Professional		$57.92	$60.09	$72.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.33 / $137.51 / $142.63	Facility		$118.33	$137.51	$142.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $60.34 / $168.44	Professional		$60.34	$60.34	$168.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $85.61 / $177.97	Facility		$61.54	$85.61	$177.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $81.47 / $122.74	Professional		$61.54	$81.47	$122.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.65 / $61.54 / $152.69	Facility		$53.65	$61.54	$152.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $95.94 / $95.94	Professional		$95.94	$95.94	$95.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.65 / $61.54 / $81.27	Facility		$53.65	$61.54	$81.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $67.17 / $2,649.11	Professional		$60.34	$67.17	$2,649.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.65 / $61.54 / $152.69	Facility		$53.65	$61.54	$152.69
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $95.94 / $95.94 / $95.94	Professional		$95.94	$95.94	$95.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $472.87 / $704.07	Professional		$111.26	$472.87	$704.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $329.55	Facility		$61.54	$61.54	$329.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.54 / $76.73 / $2,649.11	Professional		$61.54	$76.73	$2,649.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $89.80 / $92.52	Professional		$73.12	$89.80	$92.52
United Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $63.36 / $80.59	Professional		$60.34	$63.36	$80.59