Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $65.06 / $218.46	Facility		$47.16	$65.06	$218.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $33.20 / $67.56	Professional		$27.40	$33.20	$67.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $62.19 / $171.59	Professional		$28.29	$62.19	$171.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $100.04 / $132.96	Facility		$85.61	$100.04	$132.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $110.70 / $125.80	Professional		$31.62	$110.70	$125.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $44.07 / $65.75	Facility		$26.87	$44.07	$65.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $45.77 / $231.87	Facility		$27.08	$45.77	$231.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $72.38 / $204.50	Professional		$31.19	$72.38	$204.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $33.89 / $74.33	Professional		$19.34	$33.89	$74.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $44.07 / $65.75	Facility		$26.87	$44.07	$65.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $91.54 / $118.75	Professional		$61.10	$91.54	$118.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $342.77 / $342.77	Facility		$80.00	$342.77	$342.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $144.75 / $204.50	Professional		$48.45	$144.75	$204.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $81.81 / $81.81	Professional		$81.81	$81.81	$81.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $185.62 / $197.19	Professional		$59.25	$185.62	$197.19
United Facility/Professional Facility Modifier Low / Median / High Price $187.89 / $187.89 / $187.89	Facility		$187.89	$187.89	$187.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $67.98 / $126.87	Professional		$30.81	$67.98	$126.87