Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $95.93 / $190.64	Facility		$66.31	$95.93	$190.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $54.67 / $95.93	Professional		$37.20	$54.67	$95.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $78.50 / $281.62	Professional		$44.41	$78.50	$281.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $157.94 / $242.31	Facility		$135.16	$157.94	$242.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.13 / $100.49 / $165.96	Professional		$57.13	$100.49	$165.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.47 / $65.53 / $119.38	Facility		$38.47	$65.53	$119.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $65.89 / $128.50	Facility		$36.36	$65.89	$128.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $100.48 / $311.85	Professional		$52.76	$100.48	$311.85
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 $38.47 / $64.58 / $118.85	Facility		$38.47	$64.58	$118.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.94 / $105.39 / $164.53	Professional		$65.94	$105.39	$164.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.56 / $158.93 / $158.93	Facility		$65.56	$158.93	$158.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $217.76 / $311.85	Professional		$63.73	$217.76	$311.85
Security Health Facility/Professional Facility Modifier Low / Median / High Price $146.37 / $146.37 / $146.37	Facility		$146.37	$146.37	$146.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $234.44 / $346.03	Professional		$146.37	$234.44	$346.03
United Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $94.56 / $215.31	Professional		$51.61	$94.56	$215.31