Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $200.00 / $200.00	Facility		$45.03	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $56.66 / $72.62	Professional		$45.03	$56.66	$72.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $159.01 / $392.26	Professional		$65.89	$159.01	$392.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.43 / $123.20 / $163.75	Facility		$105.43	$123.20	$163.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $137.90 / $156.69	Professional		$46.91	$137.90	$156.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $52.69 / $81.78	Facility		$42.84	$52.69	$81.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $67.01 / $151.87	Facility		$45.03	$67.01	$151.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $108.89 / $440.48	Professional		$48.58	$108.89	$440.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $53.14 / $81.78	Facility		$42.84	$53.14	$81.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.18 / $167.37 / $238.70	Professional		$117.18	$167.37	$238.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.88 / $328.49 / $328.49	Facility		$171.88	$328.49	$328.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.38 / $440.48 / $440.48	Professional		$309.38	$440.48	$440.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $51.38 / $51.38	Professional		$51.38	$51.38	$51.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.21 / $261.48 / $261.48	Professional		$43.21	$261.48	$261.48
United Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $106.93 / $177.62	Professional		$50.60	$106.93	$177.62