Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.61 / $87.61 / $87.61	Facility		$87.61	$87.61	$87.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $86.17 / $110.84	Professional		$70.40	$86.17	$110.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $78.22 / $248.90	Professional		$41.00	$78.22	$248.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.06 / $244.30 / $374.77	Facility		$209.06	$244.30	$374.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $120.80 / $332.89	Professional		$70.00	$120.80	$332.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $72.67 / $87.61 / $113.89	Facility		$72.67	$87.61	$113.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $87.61 / $113.95	Facility		$71.09	$87.61	$113.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $236.12 / $524.21	Professional		$102.95	$236.12	$524.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $274.97	Professional		$50.00	$65.00	$274.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $72.67 / $87.61 / $113.89	Facility		$72.67	$87.61	$113.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $147.00 / $240.09	Professional		$88.13	$147.00	$240.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $193.15 / $193.15 / $193.15	Facility		$193.15	$193.15	$193.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $411.40 / $524.21	Professional		$75.00	$411.40	$524.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $28.93 / $28.95	Professional		$28.93	$28.93	$28.95
United Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $170.32 / $308.55	Professional		$93.34	$170.32	$308.55