Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.37 / $59.68 / $209.80	Facility		$42.37	$59.68	$209.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.30 / $60.02 / $130.97	Professional		$41.30	$60.02	$130.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $89.70 / $230.32	Professional		$47.59	$89.70	$230.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.59 / $174.80 / $268.14	Facility		$149.59	$174.80	$268.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $109.87 / $165.50	Professional		$59.85	$109.87	$165.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $59.68 / $146.33	Facility		$39.86	$59.68	$146.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $60.02 / $143.22	Facility		$39.86	$60.02	$143.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $185.32 / $693.25	Professional		$84.58	$185.32	$693.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $70.00 / $143.55	Professional		$41.03	$70.00	$143.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $59.68 / $146.33	Facility		$39.86	$59.68	$146.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $125.26 / $193.05	Professional		$73.64	$125.26	$193.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $184.85 / $184.85 / $184.85	Facility		$184.85	$184.85	$184.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.51 / $394.76 / $693.25	Professional		$78.51	$394.76	$693.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.89 / $200.82 / $288.07	Professional		$102.89	$200.82	$288.07
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $137.30 / $212.04	Professional		$73.09	$137.30	$212.04