Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $39.68 / $136.02	Facility		$39.68	$39.68	$136.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $43.22 / $114.30	Professional		$36.00	$43.22	$114.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $70.86 / $141.72	Professional		$34.08	$70.86	$141.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $111.62 / $148.35	Facility		$95.52	$111.62	$148.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $91.98 / $127.86	Professional		$44.43	$91.98	$127.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $44.28 / $74.58	Facility		$34.79	$44.28	$74.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $44.54 / $95.23	Facility		$34.79	$44.54	$95.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $91.13 / $227.75	Professional		$47.19	$91.13	$227.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $50.75 / $85.00	Professional		$21.51	$50.75	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.79 / $44.49 / $74.58	Facility		$34.79	$44.49	$74.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $92.01 / $123.78	Professional		$70.84	$92.01	$123.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $86.48 / $165.02 / $165.02	Facility		$86.48	$165.02	$165.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $185.80 / $227.75	Professional		$50.45	$185.80	$227.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $185.75 / $185.75	Professional		$85.28	$185.75	$185.75
United Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $78.81 / $139.35	Professional		$44.59	$78.81	$139.35