Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $52.50 / $177.09	Professional		$44.85	$52.50	$177.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $128.69 / $295.69	Professional		$68.20	$128.69	$295.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $80.43 / $214.50	Professional		$47.64	$80.43	$214.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $56.49 / $84.43	Facility		$38.50	$56.49	$84.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $55.54 / $83.78	Facility		$38.50	$55.54	$83.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $128.72 / $448.02	Professional		$51.23	$128.72	$448.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $61.81 / $132.94	Professional		$39.56	$61.81	$132.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.50 / $56.49 / $84.43	Facility		$38.50	$56.49	$84.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.68 / $155.56 / $228.22	Professional		$74.68	$155.56	$228.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.44 / $138.44 / $138.44	Facility		$138.44	$138.44	$138.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $260.10 / $448.02	Professional		$50.51	$260.10	$448.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $199.78	Professional		$160.91	$160.91	$199.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $98.75 / $248.78	Professional		$51.23	$98.75	$248.78