Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $64.88 / $311.42	Facility		$25.94	$64.88	$311.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $62.56 / $113.87	Professional		$24.83	$62.56	$113.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.08 / $53.73 / $94.86	Professional		$24.08	$53.73	$94.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.91 / $192.70 / $295.61	Facility		$164.91	$192.70	$295.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $68.63 / $174.78	Professional		$29.04	$68.63	$174.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $55.15 / $111.00	Facility		$25.94	$55.15	$111.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.51 / $54.47 / $111.00	Facility		$25.51	$54.47	$111.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $138.18 / $476.90	Professional		$78.44	$138.18	$476.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $94.95 / $137.89	Professional		$41.03	$94.95	$137.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $55.50 / $116.33	Facility		$25.94	$55.50	$116.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $91.49 / $196.90	Professional		$53.25	$91.49	$196.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $107.50 / $107.50	Facility		$107.50	$107.50	$107.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $113.70 / $476.90	Professional		$32.70	$113.70	$476.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $38.52 / $108.35	Professional		$38.52	$38.52	$108.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $108.35 / $237.62	Professional		$38.54	$108.35	$237.62
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $126.97 / $276.87	Professional		$75.79	$126.97	$276.87