Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.18 / $84.65 / $198.86	Facility		$25.18	$84.65	$198.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $46.81 / $67.01	Professional		$22.24	$46.81	$67.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $58.09 / $143.22	Professional		$25.48	$58.09	$143.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $169.54 / $260.08	Facility		$145.08	$169.54	$260.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $66.59 / $154.19	Professional		$32.82	$66.59	$154.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $47.15 / $77.66	Facility		$22.60	$47.15	$77.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $47.50 / $84.87	Facility		$22.52	$47.50	$84.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $104.15 / $326.08	Professional		$52.14	$104.15	$326.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $48.79 / $71.18	Professional		$20.68	$48.79	$71.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $47.15 / $77.66	Facility		$22.47	$47.15	$77.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $98.16 / $163.87	Professional		$47.60	$98.16	$163.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $102.96 / $102.96	Facility		$37.15	$102.96	$102.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $199.07 / $326.08	Professional		$44.09	$199.07	$326.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $61.94	Professional		$28.57	$28.57	$61.94
Security Health Facility/Professional Facility Modifier Low / Median / High Price $90.29 / $90.29 / $90.29	Facility		$90.29	$90.29	$90.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $81.17 / $187.95	Professional		$40.83	$81.17	$187.95
United Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $79.95 / $161.65	Professional		$47.60	$79.95	$161.65