Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $53.33	Facility		$34.67	$34.67	$53.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $45.97 / $68.20	Professional		$31.37	$45.97	$68.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $56.14 / $142.51	Professional		$36.50	$56.14	$142.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.09 / $180.07 / $276.23	Facility		$154.09	$180.07	$276.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $78.28 / $142.78	Professional		$42.42	$78.28	$142.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $71.09	Facility		$34.67	$50.12	$71.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $49.77 / $72.54	Facility		$34.67	$49.77	$72.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $176.54 / $383.21	Professional		$81.51	$176.54	$383.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $61.81 / $132.93	Professional		$39.92	$61.81	$132.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $71.09	Facility		$34.67	$50.12	$71.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $82.08 / $133.06	Professional		$49.00	$82.08	$133.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72.76 / $72.76 / $72.76	Facility		$72.76	$72.76	$72.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $240.00 / $383.21	Professional		$163.71	$240.00	$383.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $103.45 / $156.01	Professional		$58.15	$103.45	$156.01
United Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $131.02 / $181.64	Professional		$70.42	$131.02	$181.64