Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $42.83 / $42.83	Facility		$42.83	$42.83	$42.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $60.58 / $114.52	Professional		$42.83	$60.58	$114.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $152.66 / $479.53	Professional		$70.08	$152.66	$479.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.06 / $244.30 / $394.05	Facility		$209.06	$244.30	$394.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.75 / $111.44 / $141.66	Professional		$87.75	$111.44	$141.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $80.41 / $157.16	Facility		$42.83	$80.41	$157.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $93.57 / $157.16	Facility		$63.72	$93.57	$157.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $105.88 / $339.45	Professional		$61.08	$105.88	$339.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $182.95	Professional		$50.00	$70.00	$182.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $80.41 / $157.16	Facility		$42.83	$80.41	$157.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $175.11 / $244.20	Professional		$95.42	$175.11	$244.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $336.07 / $336.07 / $336.07	Facility		$336.07	$336.07	$336.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $550.08 / $550.08	Professional		$315.18	$550.08	$550.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $249.54 / $249.54	Professional		$249.54	$249.54	$249.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $531.41 / $531.41 / $531.41	Professional		$531.41	$531.41	$531.41
United Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $110.85 / $270.89	Professional		$61.08	$110.85	$270.89