Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $115.27 / $115.27	Facility		$115.27	$115.27	$115.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.25 / $85.58 / $231.96	Professional		$66.25	$85.58	$231.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.37 / $153.37 / $419.84	Professional		$74.37	$153.37	$419.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.36 / $528.62 / $702.58	Facility		$452.36	$528.62	$702.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $274.57 / $312.01	Professional		$63.51	$274.57	$312.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $115.27 / $355.30	Facility		$57.75	$115.27	$355.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $22.45 / $22.45	Professional		$22.45	$22.45	$22.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $115.27 / $408.85	Facility		$57.75	$115.27	$408.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $308.58 / $847.90	Professional		$174.80	$308.58	$847.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $273.88	Professional		$50.00	$70.00	$273.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $115.27 / $355.30	Facility		$57.75	$115.27	$355.30
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $22.45 / $22.45	Professional		$22.45	$22.45	$22.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $182.21 / $254.10	Professional		$144.16	$182.21	$254.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $147.18 / $408.85	Facility		$147.18	$147.18	$408.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.51 / $395.60 / $847.90	Professional		$63.51	$395.60	$847.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $579.90 / $641.85 / $641.85	Professional		$579.90	$641.85	$641.85
United Facility/Professional Professional Modifier Low / Median / High Price $189.63 / $295.30 / $524.85	Professional		$189.63	$295.30	$524.85