Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.45 / $38.45 / $38.45	Facility		$38.45	$38.45	$38.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $43.76 / $70.06	Professional		$34.77	$43.76	$70.06
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.39 / $21.88 / $35.04	Professional	52	$17.39	$21.88	$35.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $80.09 / $153.81	Professional		$48.86	$80.09	$153.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.55 / $166.55 / $202.12	Facility		$166.55	$166.55	$202.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $65.37 / $95.80	Professional		$28.58	$65.37	$95.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.66 / $42.60 / $62.65	Facility		$31.66	$42.60	$62.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $38.65 / $62.51	Facility		$30.81	$38.65	$62.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $69.33 / $334.05	Professional		$39.06	$69.33	$334.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $34.93 / $80.86	Professional		$20.70	$34.93	$80.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.66 / $42.60 / $62.65	Facility		$31.66	$42.60	$62.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $81.88 / $121.88	Professional		$44.03	$81.88	$121.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.18 / $193.40 / $334.05	Professional		$58.18	$193.40	$334.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $119.13 / $142.57	Professional		$84.08	$119.13	$142.57
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $59.60 / $128.15	Professional		$37.61	$59.60	$128.15