Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $175.12	Facility		$51.23	$51.23	$175.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $49.41 / $62.40	Professional		$42.41	$49.41	$62.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $49.00 / $152.38	Professional		$38.86	$49.00	$152.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.35 / $145.32 / $222.92	Facility		$124.35	$145.32	$222.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $122.96 / $175.23	Professional		$56.58	$122.96	$175.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $52.40 / $96.00	Facility		$43.67	$52.40	$96.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $52.40 / $96.00	Facility		$43.55	$52.40	$96.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.46 / $142.06 / $302.20	Professional		$58.46	$142.06	$302.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $65.00 / $80.86	Professional		$48.51	$65.00	$80.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $52.40 / $96.00	Facility		$43.67	$52.40	$96.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $84.00 / $150.94	Professional		$50.36	$84.00	$150.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $112.65 / $112.65 / $112.65	Facility		$112.65	$112.65	$112.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.77 / $243.60 / $302.20	Professional		$202.77	$243.60	$302.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $68.56 / $68.56	Professional		$68.56	$68.56	$68.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $128.13 / $128.13	Professional		$68.56	$128.13	$128.13
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $110.59 / $182.70	Professional		$54.19	$110.59	$182.70