Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $44.83 / $156.94	Facility		$44.83	$44.83	$156.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $44.83 / $57.44	Professional		$38.32	$44.83	$57.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $71.23 / $147.90	Professional		$42.18	$71.23	$147.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $126.36 / $193.85	Facility		$108.13	$126.36	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $98.52 / $117.88	Professional		$41.52	$98.52	$117.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $52.51 / $117.84	Facility		$40.85	$52.51	$117.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $52.51 / $117.84	Facility		$41.88	$52.51	$117.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $68.19 / $166.75	Professional		$42.48	$68.19	$166.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $58.14 / $85.00	Professional		$20.35	$58.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.85 / $52.51 / $117.84	Facility		$40.85	$52.51	$117.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $99.00 / $137.50	Professional		$75.00	$99.00	$137.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $78.02 / $97.53 / $189.21	Facility		$78.02	$97.53	$189.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.37 / $175.55 / $264.48	Professional		$48.37	$175.55	$264.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $51.24 / $51.24	Professional		$51.24	$51.24	$51.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $143.66 / $143.66	Professional		$143.66	$143.66	$143.66
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $62.63 / $151.16	Professional		$39.45	$62.63	$151.16