Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.23 / $69.93 / $491.39	Facility		$49.23	$69.93	$491.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $49.23 / $188.81	Professional		$30.63	$49.23	$188.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $70.97 / $207.35	Professional		$31.44	$70.97	$207.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.21 / $104.25 / $168.15	Facility		$89.21	$104.25	$168.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $117.69 / $133.74	Professional		$50.24	$117.69	$133.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $39.78 / $126.00	Facility		$28.89	$39.78	$126.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $39.78 / $126.00	Facility		$28.89	$39.78	$126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $81.78 / $191.21	Professional		$35.83	$81.78	$191.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $54.56 / $77.04	Professional		$21.28	$54.56	$77.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $49.23 / $126.00	Facility		$28.89	$49.23	$126.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $94.58 / $144.36	Professional		$65.00	$94.58	$144.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $514.16 / $514.16 / $514.16	Facility		$514.16	$514.16	$514.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.57 / $245.09 / $787.00	Professional		$49.57	$245.09	$787.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $82.98 / $82.98	Professional		$82.98	$82.98	$82.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $209.72 / $212.42	Professional		$93.00	$209.72	$212.42
United Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $71.93 / $159.61	Professional		$32.97	$71.93	$159.61