Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $200.00	Facility		$42.13	$42.13	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.67 / $29.48 / $42.13	Professional		$24.67	$29.48	$42.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $63.80 / $174.19	Professional		$27.18	$63.80	$174.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.78 / $172.70 / $229.53	Facility		$147.78	$172.70	$229.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $179.09 / $216.93	Professional		$32.71	$179.09	$216.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $42.13 / $88.32	Facility		$24.67	$42.13	$88.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $42.13 / $107.84	Facility		$24.67	$42.13	$107.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $133.88 / $304.74	Professional		$54.84	$133.88	$304.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $44.61 / $154.41	Professional		$9.74	$44.61	$154.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $42.13 / $88.32	Facility		$24.67	$42.13	$88.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $67.84 / $97.66	Professional		$17.01	$67.84	$97.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $342.77 / $342.77	Facility		$64.78	$342.77	$342.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $144.69 / $304.74	Professional		$44.17	$144.69	$304.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $139.32 / $139.32 / $139.32	Professional		$139.32	$139.32	$139.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $344.79 / $344.79	Professional		$163.99	$344.79	$344.79
United Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $70.28 / $70.28	Facility		$70.28	$70.28	$70.28
United Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $118.57 / $225.57	Professional		$54.84	$118.57	$225.57