Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $119.61 / $119.61	Facility		$108.80	$119.61	$119.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $119.61 / $119.61	Professional		$39.70	$119.61	$119.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $106.67 / $140.72	Professional		$96.00	$106.67	$140.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.35 / $253.75 / $362.72	Facility		$131.35	$253.75	$362.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.12 / $69.45 / $133.13	Professional		$61.12	$69.45	$133.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $69.84 / $128.00	Facility		$36.40	$69.84	$128.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $69.84 / $128.00	Facility		$36.40	$69.84	$128.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $132.53 / $187.65	Professional		$117.28	$132.53	$187.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $65.00 / $85.00	Professional		$53.19	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $69.84 / $128.00	Facility		$36.40	$69.84	$128.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $77.62 / $107.80	Professional		$50.09	$77.62	$107.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $60.34 / $60.34	Professional		$57.44	$60.34	$60.34
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $132.53 / $187.65	Professional		$117.28	$132.53	$187.65