Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $78.59 / $276.85	Facility		$78.59	$78.59	$276.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $78.59 / $208.14	Professional		$68.30	$78.59	$208.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.17 / $103.84 / $239.97	Professional		$70.17	$103.84	$239.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $221.18 / $302.31	Facility		$70.00	$221.18	$302.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.45 / $186.41 / $217.03	Professional		$90.45	$186.41	$217.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $82.85 / $149.10	Facility		$61.04	$82.85	$149.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $86.30 / $819.22	Facility		$61.04	$86.30	$819.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $127.93 / $558.21	Professional		$75.06	$127.93	$558.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.30 / $137.89	Professional		$39.92	$63.30	$137.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $82.85 / $149.10	Facility		$61.04	$82.85	$149.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $185.70 / $278.22	Professional		$94.97	$185.70	$278.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $149.82 / $819.22	Facility		$65.00	$149.82	$819.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.01 / $412.86 / $558.21	Professional		$101.01	$412.86	$558.21
Security Health Facility/Professional Facility Modifier Low / Median / High Price $207.27 / $207.27 / $207.27	Facility		$207.27	$207.27	$207.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $231.62 / $231.62	Professional		$141.88	$231.62	$231.62
United Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $125.54 / $268.75	Professional		$71.34	$125.54	$268.75