Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.60 / $84.60 / $84.60	Facility		$84.60	$84.60	$84.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $60.81 / $84.60	Professional		$43.18	$60.81	$84.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.11 / $307.58	Professional		$32.11	$32.11	$307.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $165.33 / $253.61	Facility		$141.47	$165.33	$253.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $115.10 / $238.80	Professional		$40.58	$115.10	$238.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $62.86 / $109.54	Facility		$42.45	$62.86	$109.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.42 / $64.27 / $123.75	Facility		$45.42	$64.27	$123.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $45.01 / $481.72	Professional		$22.40	$45.01	$481.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $243.06	Professional		$50.00	$65.00	$243.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.54 / $64.23 / $114.76	Facility		$44.54	$64.23	$114.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $155.11 / $236.75	Professional		$98.40	$155.11	$236.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.65 / $429.25 / $429.25	Facility		$81.65	$429.25	$429.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $375.05 / $481.72	Professional		$41.55	$375.05	$481.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $251.95 / $251.95 / $251.95	Professional		$251.95	$251.95	$251.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $43.43 / $105.01	Professional		$26.51	$43.43	$105.01