Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $44.22 / $44.22	Facility		$44.22	$44.22	$44.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.82 / $47.42 / $57.29	Professional		$36.82	$47.42	$57.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $68.89 / $138.33	Professional		$46.55	$68.89	$138.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.86 / $150.58 / $231.00	Facility		$128.86	$150.58	$231.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $88.81 / $142.54	Professional		$43.15	$88.81	$142.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $50.43 / $69.48	Facility		$44.22	$50.43	$69.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $49.97 / $69.48	Facility		$44.22	$49.97	$69.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $96.62 / $336.96	Professional		$61.37	$96.62	$336.96
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 $44.22 / $50.43 / $69.48	Facility		$44.22	$50.43	$69.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $94.25 / $145.54	Professional		$52.16	$94.25	$145.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $93.16 / $240.95	Facility		$92.30	$93.16	$240.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $269.60 / $336.96	Professional		$43.15	$269.60	$336.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.30 / $64.30 / $64.30	Professional		$64.30	$64.30	$64.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $101.02 / $103.70	Professional		$78.27	$101.02	$103.70
United Facility/Professional Professional Modifier Low / Median / High Price $59.37 / $90.05 / $145.72	Professional		$59.37	$90.05	$145.72