Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $29.94 / $33.96	Facility		$29.94	$29.94	$33.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.17 / $35.64 / $79.58	Professional		$27.17	$35.64	$79.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $53.55 / $53.55 / $53.55	Professional	50	$53.55	$53.55	$53.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $60.12 / $113.20	Professional		$37.40	$60.12	$113.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $56.11 / $90.19 / $169.80	Professional	50	$56.11	$90.19	$169.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.15 / $151.15 / $183.44	Facility		$151.15	$151.15	$183.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $59.57 / $84.82	Professional		$25.71	$59.57	$84.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $35.93 / $65.77	Facility		$28.80	$35.93	$65.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.85 / $35.82 / $65.77	Facility		$25.85	$35.82	$65.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $48.52 / $200.98	Professional		$35.20	$48.52	$200.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $34.41 / $80.86	Professional		$20.70	$34.41	$80.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $37.27 / $71.23	Facility		$28.87	$37.27	$71.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $76.17 / $107.88	Professional		$39.96	$76.17	$107.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $156.87 / $229.17	Professional		$34.20	$156.87	$229.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $113.14 / $128.38	Professional		$51.84	$113.14	$128.38
United Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $45.50 / $92.43	Professional		$34.43	$45.50	$92.43