Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.45 / $30.45 / $90.37	Facility		$30.45	$30.45	$90.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $31.02 / $39.83	Professional		$27.34	$31.02	$39.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $43.65 / $92.68	Professional		$28.91	$43.65	$92.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $107.41 / $164.77	Facility		$91.91	$107.41	$164.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $86.76 / $98.59	Professional		$45.99	$86.76	$98.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $34.40 / $57.78	Facility		$29.34	$34.40	$57.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $34.67 / $57.78	Facility		$29.15	$34.67	$57.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $61.69 / $589.67	Professional		$39.31	$61.69	$589.67
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 $29.34 / $34.67 / $57.78	Facility		$29.34	$34.67	$57.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $67.59 / $104.24	Professional		$37.40	$67.59	$104.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.75 / $66.66 / $157.44	Facility		$65.75	$66.66	$157.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $181.35 / $589.67	Professional		$47.99	$181.35	$589.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $42.65 / $42.65	Professional		$42.65	$42.65	$42.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $72.27 / $72.27	Professional		$42.95	$72.27	$72.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $59.34 / $97.97	Professional		$39.04	$59.34	$97.97