Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.80 / $73.80 / $73.80	Facility		$73.80	$73.80	$73.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $72.28 / $93.63	Professional		$59.82	$72.28	$93.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $65.89 / $244.78	Professional		$41.00	$65.89	$244.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.52 / $207.45 / $318.23	Facility		$177.52	$207.45	$318.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $176.14 / $281.68	Professional		$80.77	$176.14	$281.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $75.29 / $110.11	Facility		$62.92	$75.29	$110.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.81 / $75.98 / $110.11	Facility		$61.81	$75.98	$110.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $158.46 / $575.00	Professional		$73.81	$158.46	$575.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $85.00 / $194.75	Professional		$58.40	$85.00	$194.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $75.98 / $110.11	Facility		$62.92	$75.98	$110.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $124.20 / $203.92	Professional		$74.45	$124.20	$203.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.69 / $162.69 / $162.69	Facility		$162.69	$162.69	$162.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $292.86 / $348.10 / $575.00	Professional		$292.86	$348.10	$575.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $45.65 / $169.51	Professional		$1.78	$45.65	$169.51
United Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $114.87 / $237.58	Professional		$69.00	$114.87	$237.58