Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $30.54	Facility		$30.54	$30.54	$30.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $31.81 / $38.53	Professional		$28.76	$31.81	$38.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $105.30 / $139.96	Facility		$90.11	$105.30	$139.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $47.63 / $64.70	Professional		$31.84	$47.63	$64.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $34.19 / $62.76	Facility		$29.05	$34.19	$62.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.45 / $36.11 / $64.90	Facility		$28.45	$36.11	$64.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $65.98 / $226.80	Professional		$38.79	$65.98	$226.80
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 $29.05 / $34.29 / $64.90	Facility		$29.05	$34.29	$64.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $84.40 / $115.75	Professional		$53.89	$84.40	$115.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.40 / $66.78 / $180.58	Facility		$42.40	$66.78	$180.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $179.70 / $226.80	Professional		$31.84	$179.70	$226.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $42.45 / $42.45	Professional		$42.45	$42.45	$42.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.83 / $72.43 / $72.43	Professional		$59.83	$72.43	$72.43
United Facility/Professional Professional Modifier Low / Median / High Price $37.89 / $64.44 / $97.13	Professional		$37.89	$64.44	$97.13