Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $40.44 / $40.44	Facility		$40.44	$40.44	$40.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $40.29 / $44.32	Professional		$27.90	$40.29	$44.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $80.08 / $271.49	Professional		$40.04	$80.08	$271.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $130.58 / $148.38	Facility		$111.74	$130.58	$148.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $59.06 / $73.84	Professional		$47.25	$59.06	$73.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $40.44 / $81.92	Facility		$34.36	$40.44	$81.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $40.64 / $96.29	Facility		$32.39	$40.64	$96.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $68.18 / $186.67	Professional		$44.02	$68.18	$186.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $171.92	Professional		$50.00	$58.40	$171.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.36 / $40.44 / $81.92	Facility		$34.36	$40.44	$81.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.21 / $102.41 / $143.88	Professional		$49.21	$102.41	$143.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.55 / $98.38 / $201.33	Facility		$94.55	$98.38	$201.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.47 / $241.75 / $269.37	Professional		$178.47	$241.75	$269.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $67.81 / $67.81	Professional		$67.81	$67.81	$67.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $127.99 / $127.99	Professional		$77.20	$127.99	$127.99
United Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $64.12 / $158.91	Professional		$40.90	$64.12	$158.91