Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $37.79 / $37.79	Facility		$37.79	$37.79	$37.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $37.79 / $46.08	Professional		$36.18	$37.79	$46.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $74.83 / $250.82	Professional		$37.40	$74.83	$250.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.94 / $128.47 / $145.99	Facility		$109.94	$128.47	$145.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $57.66 / $75.14	Professional		$46.13	$57.66	$75.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $38.77 / $79.33	Facility		$32.95	$38.77	$79.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $38.77 / $83.36	Facility		$32.11	$38.77	$83.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $58.55 / $163.38	Professional		$38.77	$58.55	$163.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $143.63	Professional		$50.00	$58.40	$143.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $38.77 / $79.33	Facility		$32.95	$38.77	$79.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.92 / $89.32 / $125.49	Professional		$42.92	$89.32	$125.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.27 / $85.00 / $175.59	Facility		$77.27	$85.00	$175.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.84 / $199.90 / $250.51	Professional		$164.84	$199.90	$250.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.02 / $69.02 / $69.02	Professional		$69.02	$69.02	$69.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $78.55 / $130.24 / $130.24	Professional		$78.55	$130.24	$130.24
United Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $58.55 / $131.41	Professional		$38.33	$58.55	$131.41