Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $80.73 / $154.72	Facility		$69.22	$80.73	$154.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $69.22 / $100.36	Professional		$65.59	$69.22	$100.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.12 / $166.32 / $172.51	Facility		$143.12	$166.32	$172.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $69.62 / $81.43	Professional		$69.62	$69.62	$81.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.14 / $187.81 / $268.47	Facility		$76.14	$187.81	$268.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $120.65 / $137.10	Professional		$78.83	$120.65	$137.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $77.36 / $77.36	Facility		$69.22	$77.36	$77.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $73.29 / $77.36	Facility		$69.22	$73.29	$77.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $81.43 / $122.15	Professional		$77.36	$81.43	$122.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $92.36 / $260.20	Professional		$85.00	$92.36	$260.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.22 / $77.36 / $77.36	Facility		$69.22	$77.36	$77.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $144.83	Professional		$30.00	$30.00	$144.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $305.36 / $305.36 / $305.36	Facility		$305.36	$305.36	$305.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $76.14 / $76.14	Professional		$76.14	$76.14	$76.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $108.61 / $108.61	Professional		$81.52	$108.61	$108.61
United Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $81.43 / $123.78	Professional		$77.36	$81.43	$123.78