Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $48.60 / $93.19	Facility		$48.60	$48.60	$93.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $46.42 / $115.34	Professional		$24.92	$46.42	$115.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $49.32 / $178.16	Professional		$27.08	$49.32	$178.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.78 / $76.87 / $117.92	Facility		$65.78	$76.87	$117.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $72.52 / $82.41	Professional		$37.65	$72.52	$82.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $48.60 / $103.79	Facility		$25.56	$48.60	$103.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $48.60 / $150.49	Facility		$27.54	$48.60	$150.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $78.12 / $1,180.70	Professional		$32.00	$78.12	$1,180.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.24 / $58.39 / $85.00	Professional		$23.24	$58.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $48.60 / $102.06	Facility		$25.56	$48.60	$102.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.10 / $71.40 / $190.66	Professional		$48.10	$71.40	$190.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $620.88 / $620.88	Facility		$60.08	$620.88	$620.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $176.77 / $1,180.70	Professional		$38.92	$176.77	$1,180.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.86 / $84.86 / $84.86	Professional		$84.86	$84.86	$84.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $171.85 / $171.85	Professional		$110.21	$171.85	$171.85
United Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $61.25 / $128.05	Professional		$32.00	$61.25	$128.05