Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $129.12 / $129.12	Facility		$57.90	$129.12	$129.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $60.08 / $72.38	Professional		$57.90	$60.08	$72.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $60.32 / $192.02	Professional		$57.90	$60.32	$192.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $292.74 / $449.07	Facility		$61.52	$292.74	$449.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $95.03 / $130.31	Professional		$61.52	$95.03	$130.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $61.52 / $101.24	Facility		$57.90	$61.52	$101.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Professional		$33.67	$33.67	$33.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $61.52 / $101.24	Facility		$56.64	$61.52	$101.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $477.55	Professional		$60.32	$60.32	$477.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $341.47	Professional		$50.00	$70.00	$341.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $61.52 / $101.24	Facility		$57.90	$61.52	$101.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Professional		$33.67	$33.67	$33.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $128.99 / $194.19	Professional		$87.40	$128.99	$194.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $271.43 / $271.43	Facility		$85.00	$271.43	$271.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $76.72 / $477.55	Professional		$61.52	$76.72	$477.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $101.24 / $101.24	Professional		$101.24	$101.24	$101.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $101.24 / $105.98	Professional		$83.76	$101.24	$105.98
United Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $60.32 / $72.38	Professional		$60.32	$60.32	$72.38