Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.06 / $234.96	Facility		$25.70	$66.06	$234.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $57.45 / $80.43	Professional		$46.82	$57.45	$80.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $52.53 / $99,999.99	Professional		$40.00	$52.53	$99,999.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $166.38 / $189.07	Facility		$142.38	$166.38	$189.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $61.13 / $76.41	Professional		$14.25	$61.13	$76.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $60.04	Facility		$57.45	$57.45	$60.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $90.00	Facility		$57.45	$57.45	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $102.50 / $141.00	Professional		$48.00	$102.50	$141.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $58.40 / $83.02	Professional		$51.18	$58.40	$83.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $60.04	Facility		$57.45	$57.45	$60.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $90.00 / $100.00	Facility		$65.00	$90.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $14.25	Professional		$14.25	$14.25	$14.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $80.95 / $80.95	Professional		$77.84	$80.95	$80.95
United Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Professional		$48.00	$48.00	$48.00