Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $88.53 / $105.22	Professional		$65.23	$88.53	$105.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.91 / $446.27 / $819.49	Professional		$166.91	$446.27	$819.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.65 / $217.79 / $309.13	Facility		$191.65	$217.79	$309.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $150.53 / $249.54	Professional		$73.14	$150.53	$249.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.45 / $97.06 / $316.08	Facility		$55.45	$97.06	$316.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $101.31 / $461.73	Facility		$65.23	$101.31	$461.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $155.30 / $778.48	Professional		$71.68	$155.30	$778.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $58.40 / $70.00	Professional		$29.84	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.45 / $97.06 / $316.08	Facility		$55.45	$97.06	$316.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.70 / $234.85 / $329.95	Professional		$164.70	$234.85	$329.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $178.02 / $178.02 / $461.73	Facility		$178.02	$178.02	$461.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $446.13 / $446.13 / $778.48	Professional		$446.13	$446.13	$778.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $158.28 / $158.28	Professional		$158.28	$158.28	$158.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $397.78 / $397.78 / $397.78	Professional		$397.78	$397.78	$397.78
United Facility/Professional Professional Modifier Low / Median / High Price $71.68 / $155.30 / $261.77	Professional		$71.68	$155.30	$261.77