Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.68 / $94.95 / $169.22	Facility		$55.68	$94.95	$169.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $55.68 / $167.78	Professional		$40.20	$55.68	$167.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $117.33 / $211.75	Professional		$46.68	$117.33	$211.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.95 / $139.00 / $224.20	Facility		$118.95	$139.00	$224.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $137.07 / $160.08	Professional		$72.51	$137.07	$160.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $65.15 / $126.07	Facility		$46.42	$65.15	$126.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.64 / $618.00 / $2,043.20	Facility		$50.64	$618.00	$2,043.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $120.92 / $238.61	Professional		$56.68	$120.92	$238.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $65.14 / $144.80	Professional		$27.49	$65.14	$144.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $65.15 / $126.07	Facility		$46.42	$65.15	$126.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $134.82 / $170.34	Professional		$97.50	$134.82	$170.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $244.35 / $371.00	Professional		$67.15	$244.35	$371.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $86.73 / $86.73	Professional		$86.73	$86.73	$86.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.69 / $144.46 / $241.59	Professional		$93.69	$144.46	$241.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $120.92 / $205.06	Professional		$56.68	$120.92	$205.06