Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.36 / $58.36 / $58.36	Facility		$58.36	$58.36	$58.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $79.62 / $94.12	Professional		$58.36	$79.62	$94.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.47 / $179.56 / $609.40	Professional		$86.47	$179.56	$609.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.97 / $170.59 / $261.69	Facility		$145.97	$170.59	$261.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $78.51 / $174.68	Professional		$33.75	$78.51	$174.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $61.12 / $120.57	Facility		$27.96	$61.12	$120.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $63.28 / $143.38	Facility		$27.96	$63.28	$143.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $115.26 / $603.54	Professional		$66.27	$115.26	$603.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $295.74	Professional		$50.00	$60.00	$295.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.96 / $61.72 / $120.57	Facility		$27.96	$61.72	$120.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $238.22 / $332.20	Professional		$131.91	$238.22	$332.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $222.53 / $457.19 / $457.19	Facility		$222.53	$457.19	$457.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $400.55 / $603.54 / $603.54	Professional		$400.55	$603.54	$603.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $78.14 / $173.86	Professional		$78.14	$78.14	$173.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $166.40 / $166.40 / $370.24	Professional		$166.40	$166.40	$370.24
United Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $108.66 / $243.23	Professional		$66.27	$108.66	$243.23