Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $41.75 / $99.07	Professional		$26.71	$41.75	$99.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $138.81 / $268.91	Professional		$21.31	$138.81	$268.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.70 / $196.25 / $278.55	Facility		$172.70	$196.25	$278.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $54.69 / $154.30	Professional		$18.32	$54.69	$154.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $58.85 / $151.00	Facility		$32.49	$58.85	$151.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $58.85 / $151.00	Facility		$34.54	$58.85	$151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $88.05 / $360.21	Professional		$38.00	$88.05	$360.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $70.00 / $185.35	Professional		$25.29	$70.00	$185.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $58.85 / $151.00	Facility		$32.49	$58.85	$151.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.92 / $110.49 / $176.33	Professional		$76.92	$110.49	$176.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $155.94	Facility		$65.88	$65.88	$155.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.34 / $210.76 / $360.21	Professional		$26.34	$210.76	$360.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $153.99 / $282.99	Professional		$106.69	$153.99	$282.99
United Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $51.82 / $163.51	Professional		$37.65	$51.82	$163.51