Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $42.44 / $42.44	Facility		$42.44	$42.44	$42.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $52.16 / $83.88	Professional		$34.32	$52.16	$83.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $88.42 / $172.13	Professional		$53.94	$88.42	$172.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.55 / $159.55 / $193.63	Facility		$159.55	$159.55	$193.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $59.85 / $91.09	Professional		$27.11	$59.85	$91.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $49.65 / $117.30	Facility		$30.77	$49.65	$117.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $49.65 / $115.09	Facility		$27.97	$49.65	$115.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $79.22 / $624.00	Professional		$52.08	$79.22	$624.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $31.53 / $71.18	Professional		$19.71	$31.53	$71.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $50.93 / $119.00	Facility		$30.77	$50.93	$119.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $71.78 / $103.34	Professional		$33.67	$71.78	$103.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $286.50 / $624.00	Professional		$62.07	$286.50	$624.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $130.63 / $130.63	Professional		$80.56	$130.63	$130.63
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $74.62 / $143.25	Professional		$39.40	$74.62	$143.25