Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $103.68 / $470.57	Facility		$31.67	$103.68	$470.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.43 / $70.64 / $176.54	Professional		$31.43	$70.64	$176.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $94.66 / $245.35	Professional		$40.90	$94.66	$245.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.67 / $440.17 / $585.02	Facility		$376.67	$440.17	$585.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.57 / $91.90 / $312.70	Professional		$44.57	$91.90	$312.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $65.92 / $155.52	Facility		$29.97	$65.92	$155.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $71.93 / $171.32	Facility		$29.33	$71.93	$171.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $156.47 / $700.97	Professional		$78.68	$156.47	$700.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $125.21 / $268.54	Professional		$76.43	$125.21	$268.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.26 / $69.40 / $155.52	Facility		$30.26	$69.40	$155.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $128.69 / $402.31	Professional		$71.69	$128.69	$402.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $81.83 / $230.91 / $610.77	Facility		$81.83	$230.91	$610.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $506.97 / $700.97	Professional		$70.04	$506.97	$700.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $39.04 / $117.59	Professional		$39.04	$39.04	$117.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.98 / $120.52 / $483.05	Professional		$59.98	$120.52	$483.05
United Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $127.97 / $259.06	Professional		$78.68	$127.97	$259.06