Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $42.24 / $140.27	Facility		$41.16	$42.24	$140.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $42.24 / $72.18	Professional		$36.86	$42.24	$72.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $55.82 / $166.37	Professional		$38.53	$55.82	$166.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $118.99 / $182.54	Facility		$101.83	$118.99	$182.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $95.77 / $135.87	Professional		$45.89	$95.77	$135.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $42.24 / $76.03	Facility		$37.13	$42.24	$76.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $43.46 / $76.76	Facility		$35.89	$43.46	$76.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $120.78 / $251.44	Professional		$51.10	$120.78	$251.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $58.40 / $85.00	Professional		$24.74	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $42.50 / $76.17	Facility		$37.13	$42.50	$76.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $87.56 / $122.24	Professional		$48.78	$87.56	$122.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $168.01 / $168.01 / $168.01	Facility		$168.01	$168.01	$168.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $199.75 / $251.44	Professional		$56.94	$199.75	$251.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $194.54 / $197.98	Professional		$83.67	$194.54	$197.98
United Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $84.56 / $154.24	Professional		$47.94	$84.56	$154.24