Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $98.01 / $104.14	Facility		$46.70	$98.01	$104.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $46.70 / $85.62	Professional		$46.70	$46.70	$85.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $48.65 / $87.01	Professional		$47.13	$48.65	$87.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $97.75 / $139.72	Facility		$49.62	$97.75	$139.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $63.18 / $71.80	Professional		$41.03	$63.18	$71.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $49.90 / $50.26	Facility		$36.10	$49.90	$50.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $10.42 / $75.39	Professional		$10.42	$10.42	$75.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $49.90 / $50.26	Facility		$36.10	$49.90	$50.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $66.61	Professional		$48.65	$48.65	$66.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $65.00 / $85.00	Professional		$50.26	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $49.90 / $50.26	Facility		$36.10	$49.90	$50.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $10.42 / $75.39	Professional		$10.42	$10.42	$75.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $55.44 / $77.69	Professional		$25.90	$55.44	$77.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $218.93 / $218.93 / $218.93	Facility		$218.93	$218.93	$218.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $49.62 / $49.62	Professional		$49.62	$49.62	$49.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $70.56 / $70.56	Professional		$49.18	$70.56	$70.56
United Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $48.65 / $66.61	Professional		$48.65	$48.65	$66.61