Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.33 / $38.33 / $38.33	Facility		$38.33	$38.33	$38.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $41.33 / $49.84	Professional		$33.90	$41.33	$49.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $59.71 / $126.11	Professional		$40.60	$59.71	$126.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $130.58 / $200.31	Facility		$111.74	$130.58	$200.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $60.00 / $78.41	Professional		$38.69	$60.00	$78.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $41.67 / $61.55	Facility		$36.02	$41.67	$61.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $41.61 / $87.18	Facility		$37.29	$41.61	$87.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $81.16 / $260.01	Professional		$42.59	$81.16	$260.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $58.14 / $130.52	Professional		$20.35	$58.14	$130.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.75 / $41.61 / $87.18	Facility		$35.75	$41.61	$87.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $100.27 / $143.00	Professional		$70.20	$100.27	$143.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $216.42	Facility		$216.42	$216.42	$216.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $205.15 / $260.01	Professional		$38.69	$205.15	$260.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $115.07 / $115.07	Professional		$59.74	$115.07	$115.07
United Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $73.04 / $153.86	Professional		$41.31	$73.04	$153.86