Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $46.48 / $46.48	Facility		$46.48	$46.48	$46.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.21 / $61.37	Professional		$41.69	$47.21	$61.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $69.20 / $143.76	Professional		$46.30	$69.20	$143.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.66 / $248.52 / $381.23	Facility		$212.66	$248.52	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $90.14 / $146.83	Professional		$72.02	$90.14	$146.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $56.17 / $95.03	Facility		$45.55	$56.17	$95.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.08 / $57.60 / $96.51	Facility		$45.08	$57.60	$96.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $100.06 / $442.17	Professional		$59.18	$100.06	$442.17
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 $45.55 / $56.17 / $95.03	Facility		$45.55	$56.17	$95.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.46 / $102.46 / $281.44	Facility		$102.46	$102.46	$281.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $317.48 / $442.17	Professional		$72.02	$317.48	$442.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $64.45 / $64.45	Professional		$64.45	$64.45	$64.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $111.10 / $111.10 / $164.30	Professional		$111.10	$111.10	$164.30
United Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $92.56 / $159.78	Professional		$56.72	$92.56	$159.78