Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $68.53 / $146.80	Facility		$65.67	$68.53	$146.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $73.40 / $159.77	Professional		$65.00	$73.40	$159.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.79 / $157.81 / $163.68	Facility		$135.79	$157.81	$163.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $66.06 / $77.26	Professional		$66.06	$66.06	$77.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $178.16 / $254.67	Facility		$72.25	$178.16	$254.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $161.41 / $183.43	Professional		$74.78	$161.41	$183.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $73.40 / $96.38	Facility		$65.67	$73.40	$96.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $73.40 / $96.38	Facility		$65.67	$73.40	$96.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $115.89	Professional		$73.40	$77.26	$115.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $253.88	Professional		$55.00	$65.00	$253.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $65.67 / $73.40 / $96.38	Facility		$65.67	$73.40	$96.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $32.00 / $116.14	Professional		$30.00	$32.00	$116.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $289.73 / $289.73 / $289.73	Facility		$289.73	$289.73	$289.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $103.05 / $103.05	Professional		$71.31	$103.05	$103.05
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $126.63	Professional		$73.40	$77.26	$126.63