Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.15 / $34.52 / $118.30	Facility		$34.15	$34.52	$118.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $34.21 / $96.32	Professional		$29.58	$34.21	$96.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $52.39 / $112.01	Professional		$30.82	$52.39	$112.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $97.93 / $130.16	Facility		$83.80	$97.93	$130.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $79.88 / $91.74	Professional		$38.65	$79.88	$91.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $35.40 / $63.43	Facility		$29.04	$35.40	$63.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $36.25 / $67.06	Facility		$29.04	$36.25	$67.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $57.92 / $201.28	Professional		$34.65	$57.92	$201.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $48.51 / $80.86	Professional		$22.67	$48.51	$80.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $35.40 / $63.43	Facility		$29.12	$35.40	$63.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.20 / $74.94 / $104.50	Professional		$36.20	$74.94	$104.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.88 / $74.11 / $143.82	Facility		$36.88	$74.11	$143.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $163.00 / $203.45	Professional		$39.77	$163.00	$203.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $39.72 / $40.14	Professional		$39.72	$39.72	$40.14
Security Health Facility/Professional Facility Modifier Low / Median / High Price $84.13 / $84.13 / $84.13	Facility		$84.13	$84.13	$84.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $161.34 / $163.04	Professional		$76.81	$161.34	$163.04
United Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $52.86 / $110.12	Professional		$32.76	$52.86	$110.12