Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $94.85	Facility		$29.64	$29.64	$94.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $76.88 / $124.07	Professional		$27.15	$76.88	$124.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $105.06 / $275.88	Professional		$39.52	$105.06	$275.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.07 / $431.07 / $523.14	Facility		$431.07	$431.07	$523.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.74 / $74.89 / $231.96	Professional		$27.74	$74.89	$231.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $91.68 / $181.43	Facility		$29.64	$91.68	$181.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $78.80 / $167.15	Facility		$29.53	$78.80	$167.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.28 / $126.08 / $650.54	Professional		$76.28	$126.08	$650.54
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 $29.64 / $90.65 / $181.43	Facility		$29.64	$90.65	$181.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $107.91 / $301.98	Professional		$52.62	$107.91	$301.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $371.85 / $650.54	Professional		$60.15	$371.85	$650.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $38.86 / $123.90	Professional		$38.86	$38.86	$123.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.18 / $120.17 / $358.30	Professional		$75.18	$120.17	$358.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $112.23 / $231.93	Professional		$54.33	$112.23	$231.93