Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $66.56 / $84.80	Facility		$66.56	$66.56	$84.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $84.11 / $198.40	Professional		$64.80	$84.11	$198.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $64.08 / $74.79	Professional		$64.08	$64.08	$74.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.36 / $145.63 / $208.18	Facility		$70.36	$145.63	$208.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $62.96 / $76.41	Professional		$61.13	$62.96	$76.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $74.79 / $74.79	Facility		$66.56	$74.79	$74.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $88.36 / $207.20	Facility		$66.56	$88.36	$207.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $71.98 / $101.92	Professional		$63.70	$71.98	$101.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $65.00 / $155.18	Professional		$15.00	$65.00	$155.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $74.79 / $74.79	Facility		$66.56	$74.79	$74.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $272.63 / $272.63 / $272.63	Facility		$272.63	$272.63	$272.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Professional		$70.36	$70.36	$70.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.34 / $69.81 / $88.33	Professional		$59.34	$69.81	$88.33
United Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $71.98 / $104.47	Professional		$63.70	$71.98	$104.47