Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.23 / $67.95 / $200.00	Facility		$49.23	$67.95	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $34.60 / $67.95	Professional		$28.64	$34.60	$67.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $64.93 / $186.22	Professional		$30.55	$64.93	$186.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.21 / $104.25 / $138.56	Facility		$89.21	$104.25	$138.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $115.52 / $131.28	Professional		$32.20	$115.52	$131.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $43.20 / $68.52	Facility		$27.33	$43.20	$68.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $47.52 / $105.18	Facility		$27.33	$47.52	$105.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $80.23 / $213.10	Professional		$34.17	$80.23	$213.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $34.99 / $74.33	Professional		$19.34	$34.99	$74.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $45.76 / $68.52	Facility		$28.00	$45.76	$68.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $90.65 / $131.79	Professional		$63.70	$90.65	$131.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.80 / $342.77 / $342.77	Facility		$82.80	$342.77	$342.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.58 / $160.44 / $213.10	Professional		$49.58	$160.44	$213.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $85.44 / $85.44	Professional		$85.44	$85.44	$85.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $189.03 / $205.86	Professional		$64.69	$189.03	$205.86
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $73.48 / $140.63	Professional		$33.92	$73.48	$140.63