Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $97.65 / $4,670.22	Facility		$43.79	$97.65	$4,670.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $43.79 / $73.23	Professional		$35.56	$43.79	$73.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.79 / $49.73 / $51.58	Facility		$42.79	$49.73	$51.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $84.41 / $232.53	Professional		$41.80	$84.41	$232.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.72 / $88.54 / $134.11	Facility		$51.72	$88.54	$134.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $88.54 / $109.81	Professional		$41.74	$88.54	$109.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $43.79 / $73.23	Facility		$36.40	$43.79	$73.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $43.79 / $79.03	Facility		$36.40	$43.79	$79.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $664.56	Professional		$42.84	$42.84	$664.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $149.66	Professional		$55.00	$70.00	$149.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $43.79 / $73.23	Facility		$36.40	$43.79	$73.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $305.27 / $425.70	Professional		$125.19	$305.27	$425.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $119.78 / $685.00 / $685.00	Facility		$119.78	$685.00	$685.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $424.31 / $664.56	Professional		$88.54	$424.31	$664.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $32.40	Professional		$30.60	$30.60	$32.40
United Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $51.41	Professional		$42.84	$42.84	$51.41