Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $66.69 / $194.29	Facility		$58.00	$66.69	$194.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $58.00 / $160.30	Professional		$48.22	$58.00	$160.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $44.69 / $156.25	Professional		$36.53	$44.69	$156.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $158.96 / $190.26	Facility		$65.00	$158.96	$190.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.69 / $84.78 / $152.56	Professional		$44.69	$84.78	$152.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $58.14 / $104.40	Facility		$47.64	$58.14	$104.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $59.54 / $145.00	Facility		$47.64	$59.54	$145.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $51.80 / $185.40	Professional		$45.12	$51.80	$185.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $31.53 / $70.31	Professional		$19.71	$31.53	$70.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $58.14 / $104.40	Facility		$47.64	$58.14	$104.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $120.69 / $167.68	Professional		$66.91	$120.69	$167.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $234.66	Facility		$65.00	$80.00	$234.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $259.00 / $344.63	Professional		$55.54	$259.00	$344.63
Security Health Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $58.89 / $58.89	Facility		$58.89	$58.89	$58.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $146.71 / $146.71	Professional		$57.71	$146.71	$146.71
United Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $51.80 / $120.69	Professional		$46.01	$51.80	$120.69