Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $69.34 / $69.34	Facility		$69.34	$69.34	$69.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $94.00 / $160.47	Professional		$69.34	$94.00	$160.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.38 / $274.31 / $855.86	Professional		$124.38	$274.31	$855.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $107.41 / $173.25	Facility		$91.91	$107.41	$173.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $110.95 / $126.08	Professional		$40.17	$110.95	$126.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $72.06 / $142.50	Facility		$36.86	$72.06	$142.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.91 / $1,215.00 / $2,090.40	Facility		$42.91	$1,215.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.65 / $130.85 / $318.04	Professional		$48.65	$130.85	$318.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $50.00 / $70.00	Professional		$33.52	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $72.06 / $142.50	Facility		$36.86	$72.06	$142.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $252.58 / $353.17	Professional		$133.66	$252.58	$353.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $470.81 / $470.81 / $470.81	Facility		$470.81	$470.81	$470.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $474.26 / $746.58 / $746.58	Professional		$474.26	$746.58	$746.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.92 / $88.92 / $88.92	Professional		$88.92	$88.92	$88.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.46 / $223.46 / $223.46	Professional		$223.46	$223.46	$223.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $129.16 / $308.26	Professional		$52.00	$129.16	$308.26