Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.78 / $51.78 / $51.78	Facility		$51.78	$51.78	$51.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $51.78 / $60.32	Professional		$36.90	$51.78	$60.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $53.06 / $187.31	Professional		$45.10	$53.06	$187.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $153.00 / $183.08	Facility		$65.00	$153.00	$183.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.12 / $106.31 / $197.69	Professional		$43.12	$106.31	$197.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.84 / $55.90 / $93.20	Facility		$38.84	$55.90	$93.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $65.02 / $299.75	Facility		$40.29	$65.02	$299.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $62.88 / $423.78	Professional		$50.71	$62.88	$423.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $185.35	Professional		$50.00	$65.00	$185.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.26 / $54.37 / $93.20	Facility		$37.26	$54.37	$93.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.48 / $156.18 / $214.20	Professional		$85.48	$156.18	$214.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $131.83 / $299.75	Facility		$65.00	$131.83	$299.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $314.39 / $423.78	Professional		$69.09	$314.39	$423.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $157.30 / $157.30 / $157.30	Professional		$157.30	$157.30	$157.30
United Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $62.88 / $171.66	Professional		$50.71	$62.88	$171.66