Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.94 / $29.94 / $79.08	Facility		$29.94	$29.94	$79.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $70.36 / $103.96	Professional		$29.94	$70.36	$103.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $100.93 / $245.25	Professional		$43.38	$100.93	$245.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.39 / $272.73 / $309.93	Facility		$233.39	$272.73	$309.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $87.66 / $194.78	Professional		$44.78	$87.66	$194.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $64.18 / $119.80	Facility		$25.37	$64.18	$119.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $66.41 / $154.16	Facility		$25.45	$66.41	$154.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $111.82 / $317.86	Professional		$79.06	$111.82	$317.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $118.48 / $210.77	Professional		$61.66	$118.48	$210.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $65.66 / $119.80	Facility		$25.45	$65.66	$119.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $100.84 / $247.35	Professional		$35.52	$100.84	$247.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $154.16 / $154.16	Facility		$76.80	$154.16	$154.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $314.24 / $539.48	Professional		$62.87	$314.24	$539.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $113.14 / $300.87	Professional		$51.98	$113.14	$300.87
United Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $101.58 / $209.22	Professional		$78.14	$101.58	$209.22