Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.25 / $50.99 / $177.00	Facility		$41.25	$50.99	$177.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $50.99 / $81.70	Professional		$37.35	$50.99	$81.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.34 / $67.38 / $195.74	Professional		$40.34	$67.38	$195.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.16 / $147.41 / $226.15	Facility		$126.16	$147.41	$226.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $98.40 / $153.08	Professional		$50.66	$98.40	$153.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $50.99 / $97.55	Facility		$38.32	$50.99	$97.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.42 / $50.99 / $97.55	Facility		$38.42	$50.99	$97.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.15 / $151.52 / $477.31	Professional		$62.15	$151.52	$477.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.54 / $76.54 / $137.89	Professional		$41.54	$76.54	$137.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $50.99 / $99.00	Facility		$38.32	$50.99	$99.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.77 / $110.30 / $154.53	Professional		$71.77	$110.30	$154.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $174.10 / $174.10 / $174.10	Facility		$174.10	$174.10	$174.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.51 / $244.70 / $477.31	Professional		$70.51	$244.70	$477.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $188.92 / $244.55	Professional		$73.81	$188.92	$244.55
United Facility/Professional Professional Modifier Low / Median / High Price $53.43 / $107.16 / $183.63	Professional		$53.43	$107.16	$183.63