Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $200.00 / $339.39	Facility		$47.16	$200.00	$339.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $41.03 / $77.78	Professional		$27.74	$41.03	$77.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.43 / $62.19 / $171.59	Professional		$28.43	$62.19	$171.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $100.04 / $132.96	Facility		$85.61	$100.04	$132.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $110.70 / $125.80	Professional		$31.63	$110.70	$125.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $46.08 / $65.75	Facility		$26.87	$46.08	$65.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $47.16 / $105.18	Facility		$27.08	$47.16	$105.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $72.38 / $204.50	Professional		$31.64	$72.38	$204.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.89 / $74.33	Professional		$19.34	$33.89	$74.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $47.16 / $65.75	Facility		$26.87	$47.16	$65.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $91.54 / $128.65	Professional		$61.10	$91.54	$128.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $342.77 / $342.77	Facility		$80.00	$342.77	$342.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $144.75 / $204.50	Professional		$51.28	$144.75	$204.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $81.81 / $81.81	Professional		$81.81	$81.81	$81.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $178.87 / $197.19	Professional		$59.25	$178.87	$197.19
United Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $66.69 / $119.99	Professional		$30.81	$66.69	$119.99