Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $194.93 / $545.16	Facility		$29.38	$194.93	$545.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $44.04 / $143.55	Professional		$26.87	$44.04	$143.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $70.13 / $155.96	Professional		$33.53	$70.13	$155.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.93 / $157.69 / $184.28	Facility		$87.93	$157.69	$184.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $68.66 / $131.34	Professional		$24.30	$68.66	$131.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $58.33 / $142.47	Facility		$27.86	$58.33	$142.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $61.01 / $142.80	Facility		$29.38	$61.01	$142.80
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $11.96 / $11.96 / $11.96	Facility	AS	$11.96	$11.96	$11.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $50.66 / $187.85	Professional		$39.52	$50.66	$187.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $65.66 / $134.51	Professional		$39.56	$65.66	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $58.33 / $142.47	Facility		$27.86	$58.33	$142.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.25 / $111.64 / $167.49	Professional		$60.25	$111.64	$167.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $64.55 / $119.57	Facility		$51.64	$64.55	$119.57
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5.16 / $6.46 / $11.96	Facility	AS	$5.16	$6.46	$11.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $116.19 / $318.22	Professional		$28.40	$116.19	$318.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $95.10 / $181.88	Professional		$51.83	$95.10	$181.88
United Facility/Professional Professional Modifier Low / Median / High Price $41.52 / $49.71 / $123.95	Professional		$41.52	$49.71	$123.95