Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $63.69 / $219.07	Facility		$62.96	$63.69	$219.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.33 / $61.51 / $78.11	Professional		$52.33	$61.51	$78.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $62.75 / $190.63	Professional		$48.33	$62.75	$190.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.09 / $180.07 / $276.23	Facility		$154.09	$180.07	$276.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $75.80 / $216.56	Professional		$44.00	$75.80	$216.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $63.93 / $100.97	Facility		$54.02	$63.93	$100.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $64.81 / $98.72	Facility		$53.69	$64.81	$98.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $233.39 / $404.95	Professional		$88.22	$233.39	$404.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $65.57 / $87.00	Professional		$49.18	$65.57	$87.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.02 / $64.31 / $100.97	Facility		$54.02	$64.31	$100.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $109.22 / $187.11	Professional		$62.95	$109.22	$187.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $139.22 / $139.22	Facility		$139.22	$139.22	$139.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $252.05 / $404.95	Professional		$44.00	$252.05	$404.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $84.76 / $85.72	Professional		$84.76	$84.76	$85.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $158.38 / $159.28	Professional		$79.79	$158.38	$159.28
United Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $129.24 / $233.39	Professional		$68.15	$129.24	$233.39