Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.48 / $117.00 / $305.83	Facility		$48.48	$117.00	$305.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $76.81 / $141.44	Professional		$29.65	$76.81	$141.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.56 / $127.09 / $291.14	Professional		$43.56	$127.09	$291.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.20 / $258.05 / $352.69	Facility		$199.20	$258.05	$352.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.35 / $105.57 / $272.75	Professional		$37.35	$105.57	$272.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $66.97 / $141.44	Facility		$27.97	$66.97	$141.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.12 / $68.09 / $141.44	Facility		$28.12	$68.09	$141.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $198.73 / $586.42	Professional		$85.41	$198.73	$586.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $101.24 / $207.38	Professional		$58.91	$101.24	$207.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.97 / $66.97 / $141.44	Facility		$27.97	$66.97	$141.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $121.04 / $266.12	Professional		$63.36	$121.04	$266.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.38 / $140.77 / $297.60	Facility		$46.38	$140.77	$297.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $308.26 / $586.42	Professional		$52.10	$308.26	$586.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $102.32 / $292.56	Professional		$47.83	$102.32	$292.56
United Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $145.37 / $282.66	Professional		$80.76	$145.37	$282.66