Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $47.28 / $57.03	Professional		$42.48	$47.28	$57.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.46 / $154.80 / $205.74	Facility		$132.46	$154.80	$205.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $70.01 / $95.03	Professional		$47.02	$70.01	$95.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $50.58 / $92.11	Facility		$42.61	$50.58	$92.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.18 / $53.52 / $95.30	Facility		$42.18	$53.52	$95.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $97.79 / $333.27	Professional		$57.58	$97.79	$333.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $50.00 / $70.00	Professional		$20.70	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $50.58 / $95.30	Facility		$42.61	$50.58	$95.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $124.63 / $170.92	Professional		$79.56	$124.63	$170.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $98.06 / $268.17	Facility		$62.56	$98.06	$268.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $263.80 / $333.27	Professional		$47.02	$263.80	$333.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $62.44 / $62.44	Professional		$62.44	$62.44	$62.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.85 / $106.34 / $106.34	Professional		$87.85	$106.34	$106.34
United Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $105.18 / $146.62	Professional		$58.04	$105.18	$146.62