Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.69 / $83.23 / $200.00	Facility		$58.69	$83.23	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.75 / $44.50 / $234.67	Professional		$38.75	$44.50	$234.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $58.69 / $215.37	Professional		$37.86	$58.69	$215.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $122.88 / $193.85	Facility		$108.13	$122.88	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $138.93 / $157.88	Professional		$57.34	$138.93	$157.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $45.88 / $74.37	Facility		$34.06	$45.88	$74.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $46.16 / $1,027.46	Facility		$34.06	$46.16	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.54 / $86.10 / $256.51	Professional		$42.54	$86.10	$256.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $31.53 / $69.48	Professional		$19.10	$31.53	$69.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $45.88 / $78.34	Facility		$34.06	$45.88	$78.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $94.66 / $163.93	Professional		$78.00	$94.66	$163.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.68 / $181.68 / $181.68	Facility		$181.68	$181.68	$181.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $194.60 / $256.51	Professional		$58.51	$194.60	$256.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $102.68 / $102.68	Professional		$102.68	$102.68	$102.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $247.52 / $247.52	Professional		$103.96	$247.52	$247.52
United Facility/Professional Professional Modifier Low / Median / High Price $41.49 / $80.95 / $170.57	Professional		$41.49	$80.95	$170.57