Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $42.24 / $42.24	Facility		$42.24	$42.24	$42.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.24 / $42.24 / $52.80	Professional		$42.24	$42.24	$52.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $79.68 / $191.01	Professional		$46.85	$79.68	$191.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $182.27 / $287.54	Facility		$44.88	$182.27	$287.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $99.28 / $112.81	Professional		$44.88	$99.28	$112.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $52.80 / $69.84	Facility		$42.24	$52.80	$69.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $52.80 / $125.15	Facility		$42.24	$52.80	$125.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $105.34	Professional		$50.16	$50.16	$105.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.13 / $65.00 / $166.00	Professional		$40.13	$65.00	$166.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.24 / $52.80 / $107.84	Facility		$42.24	$52.80	$107.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $123.05 / $171.60	Professional		$56.11	$123.05	$171.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $276.11 / $276.11 / $276.11	Facility		$276.11	$276.11	$276.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $223.65 / $299.48	Professional		$44.88	$223.65	$299.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.76 / $72.76 / $72.76	Professional		$72.76	$72.76	$72.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $234.28 / $234.28	Professional		$86.67	$234.28	$234.28
United Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $65.20	Professional		$50.16	$50.16	$65.20