Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Facility		$41.01	$41.01	$41.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $42.63 / $54.20	Professional		$38.15	$42.63	$54.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.57 / $61.36 / $128.02	Professional		$45.57	$61.36	$128.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.84 / $225.35 / $345.69	Facility		$192.84	$225.35	$345.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $82.66 / $133.31	Professional		$63.75	$82.66	$133.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $50.91 / $85.43	Facility		$41.01	$50.91	$85.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $51.03 / $86.42	Facility		$41.01	$51.03	$86.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $98.20 / $403.88	Professional		$58.03	$98.20	$403.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $58.40 / $132.93	Professional		$39.32	$58.40	$132.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $50.91 / $85.43	Facility		$41.01	$50.91	$85.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $89.16 / $236.62	Facility		$89.16	$89.16	$236.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $280.85 / $403.88	Professional		$64.28	$280.85	$403.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $57.02 / $57.02	Professional		$57.02	$57.02	$57.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $96.68 / $96.68 / $149.19	Professional		$96.68	$96.68	$149.19
United Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $85.14 / $131.47	Professional		$56.22	$85.14	$131.47