Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.74 / $97.74 / $97.74	Facility		$97.74	$97.74	$97.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $70.25 / $97.74	Professional		$49.80	$70.25	$97.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $37.01 / $354.69	Professional		$37.01	$37.01	$354.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.10 / $190.60 / $292.38	Facility		$163.10	$190.60	$292.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $142.86 / $275.86	Professional		$46.77	$142.86	$275.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.18 / $76.72 / $152.25	Facility		$49.18	$76.72	$152.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $77.76 / $161.76	Facility		$54.02	$77.76	$161.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $51.99 / $555.50	Professional		$32.81	$51.99	$555.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $279.83	Professional		$50.00	$65.00	$279.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $75.51 / $161.76	Facility		$51.23	$75.51	$161.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $179.70 / $303.05	Professional		$114.00	$179.70	$303.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.33 / $377.10 / $377.10	Facility		$94.33	$377.10	$377.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $433.25 / $555.50	Professional		$47.97	$433.25	$555.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $290.95 / $290.95 / $290.95	Professional		$290.95	$290.95	$290.95
United Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $49.69 / $121.31	Professional		$34.07	$49.69	$121.31