Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.16 / $77.63 / $200.00	Facility		$56.16	$77.63	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $39.64 / $77.63	Professional		$32.59	$39.64	$77.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $74.68 / $223.86	Professional		$34.04	$74.68	$223.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $118.99 / $158.15	Facility		$101.83	$118.99	$158.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $131.82 / $149.80	Professional		$40.32	$131.82	$149.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $56.16 / $78.20	Facility		$32.11	$56.16	$78.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $56.16 / $131.97	Facility		$32.11	$56.16	$131.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $89.60 / $243.52	Professional		$38.27	$89.60	$243.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $37.91 / $77.04	Professional		$19.34	$37.91	$77.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.13 / $56.16 / $78.20	Facility		$32.13	$56.16	$78.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $109.07 / $137.69	Professional		$72.80	$109.07	$137.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $115.04 / $342.77 / $342.77	Facility		$115.04	$342.77	$342.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $172.25 / $243.52	Professional		$61.08	$172.25	$243.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.43 / $97.43 / $97.43	Professional		$97.43	$97.43	$97.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $223.27 / $234.92	Professional		$76.83	$223.27	$234.92
United Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $77.95 / $150.97	Professional		$36.45	$77.95	$150.97