Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Professional		$42.90	$42.90	$42.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $85.37	Professional		$50.00	$50.00	$85.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $101.86 / $145.60	Facility		$47.11	$101.86	$145.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $89.32 / $101.50	Professional		$44.03	$89.32	$101.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $50.47 / $101.93	Facility		$42.90	$50.47	$101.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $50.47 / $101.93	Facility		$42.90	$50.47	$101.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $50.47 / $75.70	Professional		$50.47	$50.47	$75.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $188.54	Professional		$55.00	$65.00	$188.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $50.47 / $101.93	Facility		$42.90	$50.47	$101.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $112.80 / $154.69	Professional		$89.25	$112.80	$154.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $216.50 / $216.50	Facility		$216.50	$216.50	$216.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $53.37 / $53.37	Professional		$50.80	$53.37	$53.37
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $50.47 / $80.75	Professional		$50.47	$50.47	$80.75