Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $38.29 / $38.29	Facility		$38.29	$38.29	$38.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.69 / $38.29 / $47.78	Professional		$31.69	$38.29	$47.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $67.31 / $193.38	Professional		$40.31	$67.31	$193.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.14 / $179.14 / $217.41	Facility		$179.14	$179.14	$217.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $48.67 / $95.78	Professional		$36.90	$48.67	$95.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $38.42 / $59.55	Facility		$27.18	$38.42	$59.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $38.42 / $59.55	Facility		$27.18	$38.42	$59.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $52.43 / $131.85	Professional		$29.04	$52.43	$131.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $32.41 / $67.79	Professional		$19.71	$32.41	$67.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.18 / $39.79 / $59.55	Facility		$27.18	$39.79	$59.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.88 / $94.65 / $134.13	Professional		$45.88	$94.65	$134.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $180.77 / $268.01	Professional		$36.90	$180.77	$268.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.61 / $50.61 / $50.61	Professional		$50.61	$50.61	$50.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $100.43 / $147.96	Professional		$55.64	$100.43	$147.96
United Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $51.59 / $104.98	Professional		$32.85	$51.59	$104.98