Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $45.43 / $135.22	Facility		$33.40	$45.43	$135.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $38.28 / $52.00	Professional		$28.66	$38.28	$52.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $52.63 / $106.89	Professional		$33.07	$52.63	$106.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.06 / $148.47 / $227.77	Facility		$127.06	$148.47	$227.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $96.99 / $133.72	Professional		$48.01	$96.99	$133.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $42.89 / $63.60	Facility		$32.99	$42.89	$63.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $42.89 / $65.98	Facility		$32.99	$42.89	$65.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $96.59 / $298.80	Professional		$55.19	$96.59	$298.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $61.81 / $132.93	Professional		$39.56	$61.81	$132.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $42.89 / $63.60	Facility		$32.99	$42.89	$63.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $83.61 / $137.88	Professional		$45.76	$83.61	$137.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.97 / $66.97 / $160.47	Facility		$66.97	$66.97	$160.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $203.45 / $298.80	Professional		$54.25	$203.45	$298.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $71.09 / $98.05	Professional		$45.73	$71.09	$98.05
United Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $82.43 / $129.97	Professional		$54.44	$82.43	$129.97