Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $34.96 / $169.54	Professional		$25.84	$34.96	$169.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $77.38 / $177.36	Professional		$40.86	$77.38	$177.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $50.73 / $128.96	Professional		$28.41	$50.73	$128.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $35.27 / $53.44	Facility		$25.27	$35.27	$53.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $34.21 / $52.85	Facility		$25.27	$34.21	$52.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $80.39 / $279.82	Professional		$39.50	$80.39	$279.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $61.81 / $127.76	Professional		$39.32	$61.81	$127.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $35.27 / $53.44	Facility		$25.27	$35.27	$53.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $92.62 / $144.36	Professional		$44.47	$92.62	$144.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.48 / $82.48 / $82.48	Facility		$82.48	$82.48	$82.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $162.25 / $279.82	Professional		$33.04	$162.25	$279.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $95.87 / $125.47	Professional		$95.87	$95.87	$125.47
United Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $61.96 / $166.54	Professional		$39.50	$61.96	$166.54