Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $93.08	Facility		$40.54	$40.54	$93.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $75.73 / $138.65	Professional		$37.06	$75.73	$138.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $124.20 / $274.55	Professional		$54.47	$124.20	$274.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.07 / $417.07 / $506.15	Facility		$417.07	$417.07	$506.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $98.35 / $225.95	Professional		$37.88	$98.35	$225.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $93.08 / $367.91	Facility		$40.54	$93.08	$367.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $91.20 / $314.58	Facility		$40.39	$91.20	$314.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $127.22 / $638.98	Professional		$81.54	$127.22	$638.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $93.15 / $200.74	Professional		$58.91	$93.15	$200.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $92.78 / $314.58	Facility		$40.54	$92.78	$314.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $137.38 / $293.93	Professional		$72.19	$137.38	$293.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $360.35 / $638.98	Professional		$75.81	$360.35	$638.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $103.13 / $151.88 / $349.02	Professional		$103.13	$151.88	$349.02
United Facility/Professional Professional Modifier Low / Median / High Price $76.30 / $120.43 / $240.85	Professional		$76.30	$120.43	$240.85