Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.99 / $59.28 / $88.18	Professional		$48.99	$59.28	$88.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $162.80 / $320.94	Professional		$112.75	$162.80	$320.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $189.55 / $305.73	Facility		$162.19	$189.55	$305.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $97.88 / $111.23	Professional		$68.25	$97.88	$111.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $68.87 / $136.31	Facility		$54.68	$68.87	$136.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.39 / $79.12 / $217.13	Facility		$57.39	$79.12	$217.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $241.34 / $764.98	Professional		$51.85	$241.34	$764.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $57.39 / $170.72	Professional		$50.00	$57.39	$170.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $68.87 / $136.31	Facility		$54.68	$68.87	$136.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $82.52 / $151.44 / $211.20	Professional		$82.52	$151.44	$211.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $349.35 / $349.35 / $349.35	Facility		$349.35	$349.35	$349.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $352.04 / $1,033.75 / $1,033.75	Professional		$352.04	$1,033.75	$1,033.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $71.64 / $71.64	Professional		$71.64	$71.64	$71.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $170.74 / $214.87 / $214.87	Professional		$170.74	$214.87	$214.87
United Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $252.18 / $539.35	Professional		$59.64	$252.18	$539.35