Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $76.31 / $76.31	Facility		$76.31	$76.31	$76.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $78.59 / $95.95	Professional		$71.76	$78.59	$95.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.28 / $263.26 / $349.89	Facility		$225.28	$263.26	$349.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $119.06 / $161.88	Professional		$79.45	$119.06	$161.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $85.20 / $156.96	Facility		$72.26	$85.20	$156.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $89.99 / $162.34	Facility		$70.98	$89.99	$162.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $166.43 / $567.27	Professional		$98.38	$166.43	$567.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $65.14 / $137.47	Professional		$41.40	$65.14	$137.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.26 / $85.65 / $162.34	Facility		$72.26	$85.65	$162.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.46 / $210.61 / $288.83	Professional		$134.46	$210.61	$288.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $105.82 / $167.06 / $449.39	Facility		$105.82	$167.06	$449.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $451.25 / $567.27	Professional		$79.45	$451.25	$567.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $106.21 / $106.21 / $106.21	Professional		$106.21	$106.21	$106.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $181.17 / $181.17	Professional		$149.63	$181.17	$181.17
United Facility/Professional Professional Modifier Low / Median / High Price $96.47 / $167.07 / $243.91	Professional		$96.47	$167.07	$243.91