Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.28 / $186.35	Facility		$54.95	$93.28	$186.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $55.67 / $77.55	Professional		$48.58	$55.67	$77.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $73.56 / $219.56	Professional		$51.56	$73.56	$219.56
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 $61.17 / $125.80 / $180.86	Professional		$61.17	$125.80	$180.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $55.99 / $100.49	Facility		$48.94	$55.99	$100.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.12 / $57.71 / $101.91	Facility		$48.12	$57.71	$101.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $159.97 / $332.01	Professional		$67.75	$159.97	$332.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $58.40 / $85.00	Professional		$24.74	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $56.14 / $101.91	Facility		$48.94	$56.14	$101.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.19 / $117.53 / $163.90	Professional		$65.19	$117.53	$163.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $225.58 / $225.58 / $225.58	Facility		$225.58	$225.58	$225.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $262.45 / $332.01	Professional		$77.06	$262.45	$332.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $111.72 / $258.04 / $263.17	Professional		$111.72	$258.04	$263.17
United Facility/Professional Professional Modifier Low / Median / High Price $60.76 / $105.52 / $196.84	Professional		$60.76	$105.52	$196.84