Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $52.25 / $130.00	Professional		$32.74	$52.25	$130.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $42.27 / $105.18	Professional		$35.74	$42.27	$105.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $72.00 / $105.73	Professional		$43.00	$72.00	$105.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $43.23 / $60.78	Facility		$31.84	$43.23	$60.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $42.51 / $58.56	Facility		$31.84	$42.51	$58.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $63.90 / $325.83	Professional		$46.00	$63.90	$325.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $61.84 / $139.02	Professional		$39.56	$61.84	$139.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $43.23 / $60.78	Facility		$31.84	$43.23	$60.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $107.28 / $138.47	Professional		$57.53	$107.28	$138.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.63 / $109.63 / $109.63	Facility		$109.63	$109.63	$109.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $223.16 / $325.83	Professional		$39.72	$223.16	$325.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.87 / $92.87 / $105.01	Professional		$92.87	$92.87	$105.01
United Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $79.04 / $117.10	Professional		$47.75	$79.04	$117.10