Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.93 / $32.93 / $118.34	Facility		$32.93	$32.93	$118.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $31.45 / $34.69	Professional		$26.98	$31.45	$34.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $43.51 / $103.97	Professional		$24.99	$43.51	$103.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $102.14 / $156.69	Facility		$87.41	$102.14	$156.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.71 / $80.76 / $96.13	Professional		$61.71	$80.76	$96.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $34.15 / $63.45	Facility		$26.56	$34.15	$63.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $34.59 / $67.92	Facility		$26.56	$34.59	$67.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $50.82 / $194.73	Professional		$27.19	$50.82	$194.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $46.43 / $70.00	Professional		$20.68	$46.43	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $34.15 / $63.45	Facility		$26.22	$34.15	$63.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.93 / $74.04 / $103.85	Professional		$45.93	$74.04	$103.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $264.97 / $264.97	Facility		$42.20	$264.97	$264.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $194.73 / $194.73	Professional		$136.66	$194.73	$194.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $36.35 / $36.35	Professional		$36.35	$36.35	$36.35
Security Health Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $46.83 / $46.83	Facility		$46.83	$46.83	$46.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $75.93 / $111.87	Professional		$42.15	$75.93	$111.87
United Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $45.01 / $97.83	Professional		$27.48	$45.01	$97.83