Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $45.15 / $45.15	Facility		$45.15	$45.15	$45.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $48.33 / $58.48	Professional		$36.83	$48.33	$58.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $70.34 / $136.75	Professional		$47.53	$70.34	$136.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $153.74 / $235.84	Facility		$131.56	$153.74	$235.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $90.65 / $145.50	Professional		$44.04	$90.65	$145.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $51.55 / $69.62	Facility		$45.15	$51.55	$69.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $51.02 / $69.62	Facility		$45.15	$51.02	$69.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $96.66 / $332.57	Professional		$61.39	$96.66	$332.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $32.57 / $70.00	Professional		$20.35	$32.57	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.15 / $51.55 / $69.62	Facility		$45.15	$51.55	$69.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $96.20 / $148.55	Professional		$53.24	$96.20	$148.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.21 / $95.10 / $246.06	Facility		$94.21	$95.10	$246.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $269.70 / $332.57	Professional		$44.04	$269.70	$332.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $63.52 / $63.52	Professional		$63.52	$63.52	$63.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $103.12 / $103.72	Professional		$78.29	$103.12	$103.72
United Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $96.53 / $145.78	Professional		$59.33	$96.53	$145.78