Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.72 / $78.72 / $78.72	Facility		$78.72	$78.72	$78.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $78.72 / $102.70	Professional		$42.05	$78.72	$102.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $136.63 / $278.16	Professional		$64.31	$136.63	$278.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $248.52 / $282.39	Facility		$85.10	$248.52	$282.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.62 / $173.03 / $221.74	Professional		$83.62	$173.03	$221.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $77.95 / $123.26	Facility		$23.87	$77.95	$123.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.07 / $75.43 / $159.29	Facility		$41.07	$75.43	$159.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $76.89 / $281.14	Professional		$40.18	$76.89	$281.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $85.00 / $140.63	Professional		$42.57	$85.00	$140.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $77.95 / $123.26	Facility		$23.87	$77.95	$123.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.80 / $189.31 / $264.00	Professional		$88.80	$189.31	$264.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $92.08 / $363.31	Facility		$52.94	$92.08	$363.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.13 / $330.21 / $437.76	Professional		$96.13	$330.21	$437.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $116.83 / $116.83	Professional		$116.83	$116.83	$116.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.30 / $242.47 / $242.47	Professional		$53.30	$242.47	$242.47
United Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $87.91 / $208.73	Professional		$40.64	$87.91	$208.73