Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.09 / $47.09 / $47.09	Facility		$47.09	$47.09	$47.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $48.41 / $59.17	Professional		$44.07	$48.41	$59.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $162.16 / $215.53	Facility		$138.77	$162.16	$215.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $73.81 / $99.75	Professional		$49.10	$73.81	$99.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $51.80 / $96.82	Facility		$44.48	$51.80	$96.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $55.31 / $100.26	Facility		$43.79	$55.31	$100.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.65 / $101.64 / $349.47	Professional		$59.65	$101.64	$349.47
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 $44.48 / $52.92 / $100.26	Facility		$44.48	$52.92	$100.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $130.15 / $178.50	Professional		$83.09	$130.15	$178.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.03 / $102.94 / $277.93	Facility		$65.03	$102.94	$277.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $277.05 / $349.47	Professional		$49.10	$277.05	$349.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Professional		$65.20	$65.20	$65.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.42 / $111.63 / $111.63	Professional		$92.42	$111.63	$111.63
United Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $99.85 / $149.75	Professional		$58.10	$99.85	$149.75