Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.44 / $37.44 / $200.00	Facility		$37.44	$37.44	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $55.55 / $63.00	Professional		$37.44	$55.55	$63.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $115.21 / $442.62	Professional		$61.26	$115.21	$442.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.24 / $221.14 / $339.23	Facility		$189.24	$221.14	$339.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.88 / $198.63 / $225.71	Professional		$79.88	$198.63	$225.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.44 / $61.11 / $141.49	Facility		$37.44	$61.11	$141.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $65.81 / $148.07	Facility		$39.31	$65.81	$148.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $107.83 / $359.53	Professional		$62.76	$107.83	$359.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $58.40 / $70.00	Professional		$30.29	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.44 / $61.11 / $141.49	Facility		$37.44	$61.11	$141.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $145.78 / $207.90	Professional		$95.82	$145.78	$207.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.81 / $130.63 / $286.08	Facility		$82.81	$130.63	$286.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $254.57 / $254.57 / $359.53	Professional		$254.57	$254.57	$359.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $224.68 / $224.68 / $224.68	Professional		$224.68	$224.68	$224.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $307.26 / $478.41 / $478.41	Professional		$307.26	$478.41	$478.41
United Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $107.59 / $250.42	Professional		$62.76	$107.59	$250.42