Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $82.85 / $557.66	Facility		$59.90	$82.85	$557.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $44.86 / $82.85	Professional		$35.03	$44.86	$82.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $88.14 / $245.53	Professional		$38.65	$88.14	$245.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.04 / $127.42 / $169.35	Facility		$109.04	$127.42	$169.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $140.62 / $159.80	Professional		$48.51	$140.62	$159.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $44.66 / $77.87	Facility		$34.83	$44.66	$77.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.74 / $46.01 / $83.05	Facility		$34.74	$46.01	$83.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $106.11 / $258.05	Professional		$43.37	$106.11	$258.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.34 / $30.95 / $74.33	Professional		$19.34	$30.95	$74.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $52.83 / $77.87	Facility		$34.83	$52.83	$77.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $94.66 / $136.27	Professional		$72.80	$94.66	$136.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.53 / $181.68 / $181.68	Facility		$95.53	$181.68	$181.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $171.95 / $258.05	Professional		$59.22	$171.95	$258.05
Security Health Facility/Professional Facility Modifier Low / Median / High Price $217.83 / $262.20 / $299.38	Facility		$217.83	$262.20	$299.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $250.52 / $250.52 / $313.99	Professional		$250.52	$250.52	$313.99
United Facility/Professional Facility Modifier Low / Median / High Price $69.36 / $69.36 / $69.36	Facility		$69.36	$69.36	$69.36
United Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $98.94 / $178.76	Professional		$43.31	$98.94	$178.76