Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $35.53 / $105.43	Facility		$34.65	$35.53	$105.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $36.83 / $53.07	Professional		$31.90	$36.83	$53.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $57.00 / $108.52	Professional		$37.29	$57.00	$108.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.13 / $126.36 / $193.85	Facility		$108.13	$126.36	$193.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.88 / $99.02 / $115.36	Professional		$49.88	$99.02	$115.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $39.56 / $66.98	Facility		$33.63	$39.56	$66.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.17 / $39.86 / $68.05	Facility		$33.17	$39.86	$68.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $72.06 / $685.57	Professional		$46.15	$72.06	$685.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.40 / $80.86	Professional		$32.34	$58.40	$80.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $39.86 / $66.98	Facility		$33.63	$39.86	$66.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $87.12 / $120.95	Professional		$43.52	$87.12	$120.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $76.08 / $76.08 / $178.64	Facility		$76.08	$76.08	$178.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $207.40 / $685.57	Professional		$54.78	$207.40	$685.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $48.63 / $49.83	Professional		$48.63	$48.63	$49.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.70 / $82.50 / $84.58	Professional		$57.70	$82.50	$84.58
United Facility/Professional Professional Modifier Low / Median / High Price $44.75 / $66.63 / $113.97	Professional		$44.75	$66.63	$113.97