Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $52.85 / $192.60	Facility		$33.02	$52.85	$192.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $41.74 / $63.19	Professional		$27.88	$41.74	$63.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $51.84 / $140.77	Professional		$29.48	$51.84	$140.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $159.01 / $243.92	Facility		$136.07	$159.01	$243.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $85.90 / $143.40	Professional		$42.33	$85.90	$143.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $47.26 / $68.70	Facility		$28.73	$47.26	$68.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.22 / $46.93 / $67.23	Facility		$28.22	$46.93	$67.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.18 / $100.16 / $310.49	Professional		$56.18	$100.16	$310.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $62.33 / $134.51	Professional		$39.56	$62.33	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $28.73 / $47.26 / $68.70	Facility		$28.73	$47.26	$68.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $72.70 / $147.56	Professional		$39.28	$72.70	$147.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $72.59 / $137.78	Facility		$72.59	$72.59	$137.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $193.31 / $310.49	Professional		$58.17	$193.31	$310.49
Security Health Facility/Professional Facility Modifier Low / Median / High Price $42.02 / $42.02 / $70.73	Facility		$42.02	$42.02	$70.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $62.99 / $105.12	Professional		$42.02	$62.99	$105.12
United Facility/Professional Professional Modifier Low / Median / High Price $54.89 / $84.32 / $134.86	Professional		$54.89	$84.32	$134.86