Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $44.16 / $151.38	Facility		$43.80	$44.16	$151.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $44.16 / $123.69	Professional		$39.36	$44.16	$123.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $69.23 / $148.80	Professional		$39.43	$69.23	$148.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.23 / $125.31 / $166.55	Facility		$107.23	$125.31	$166.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.04 / $102.72 / $148.44	Professional		$49.04	$102.72	$148.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $48.53 / $82.39	Facility		$38.75	$48.53	$82.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $51.25 / $92.39	Facility		$38.54	$51.25	$92.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $98.02 / $255.15	Professional		$51.74	$98.02	$255.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $55.89 / $85.00	Professional		$21.51	$55.89	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $48.98 / $82.39	Facility		$38.75	$48.98	$82.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.65 / $107.90 / $136.27	Professional		$78.65	$107.90	$136.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $168.27 / $181.68	Facility		$81.23	$168.27	$181.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.22 / $203.70 / $255.15	Professional		$58.22	$203.70	$255.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $207.48 / $207.48	Professional		$94.72	$207.48	$207.48
United Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $94.89 / $150.88	Professional		$51.16	$94.89	$150.88