Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $112.07 / $200.00	Facility		$80.56	$112.07	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $62.71 / $378.25	Professional		$45.46	$62.71	$378.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $106.27 / $300.62	Professional		$48.42	$106.27	$300.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $171.64 / $228.13	Facility		$146.88	$171.64	$228.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $190.22 / $216.16	Professional		$48.81	$190.22	$216.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.66 / $63.76 / $107.09	Facility		$46.66	$63.76	$107.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.66 / $80.56 / $117.76	Facility		$46.66	$80.56	$117.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.92 / $115.92 / $352.17	Professional		$50.92	$115.92	$352.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $43.33 / $71.18	Professional		$19.71	$43.33	$71.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.66 / $71.29 / $107.09	Facility		$46.66	$71.29	$107.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $128.57 / $204.55	Professional		$58.60	$128.57	$204.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $342.77 / $342.77	Facility		$129.22	$342.77	$342.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $251.60 / $352.17	Professional		$80.12	$251.60	$352.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $338.99 / $353.36	Professional		$64.26	$338.99	$353.36
United Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $108.26 / $210.92	Professional		$49.81	$108.26	$210.92