Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $38.96 / $51.02	Professional		$30.58	$38.96	$51.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $55.76 / $126.51	Professional		$38.90	$55.76	$126.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $151.63 / $232.61	Facility		$129.76	$151.63	$232.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $77.06 / $87.58	Professional		$42.56	$77.06	$87.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $43.91 / $61.47	Facility		$37.32	$43.91	$61.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $43.91 / $65.87	Facility		$37.47	$43.91	$65.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $77.98 / $290.08	Professional		$46.60	$77.98	$290.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $29.46 / $65.78	Professional		$19.10	$29.46	$65.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $37.32 / $43.91 / $61.47	Facility		$37.32	$43.91	$61.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.14 / $90.38 / $252.67	Facility		$89.14	$90.38	$252.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $210.05 / $290.08	Professional		$42.56	$210.05	$290.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.36 / $53.36 / $53.36	Professional		$53.36	$53.36	$53.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $86.12 / $98.00 / $98.00	Professional		$86.12	$98.00	$98.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $73.89 / $116.75	Professional		$46.60	$73.89	$116.75