Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $30.98 / $30.98	Facility		$30.98	$30.98	$30.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $46.09 / $49.98	Professional		$30.98	$46.09	$49.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $95.34 / $290.27	Professional		$50.24	$95.34	$290.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.28 / $167.43 / $256.83	Facility		$143.28	$167.43	$256.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $84.74 / $96.30	Professional		$60.38	$84.74	$96.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $49.69 / $106.83	Facility		$30.98	$49.69	$106.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $51.70 / $111.80	Facility		$32.53	$51.70	$111.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $76.84 / $391.12	Professional		$44.82	$76.84	$391.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $58.40 / $86.96	Professional		$30.00	$58.40	$86.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $49.69 / $111.80	Facility		$30.98	$49.69	$111.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.11 / $121.87 / $173.80	Professional		$80.11	$121.87	$173.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $136.43 / $239.19	Facility		$102.08	$136.43	$239.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.01 / $224.01 / $391.12	Professional		$224.01	$224.01	$391.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $169.62 / $169.62	Professional		$169.62	$169.62	$169.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $206.86 / $361.23 / $361.23	Professional		$206.86	$361.23	$361.23
United Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $73.58 / $169.25	Professional		$44.86	$73.58	$169.25