Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.95 / $53.04 / $182.30	Facility		$51.95	$53.04	$182.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $53.04 / $76.53	Professional		$46.29	$53.04	$76.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $70.08 / $209.67	Professional		$48.89	$70.08	$209.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.76 / $151.63 / $232.61	Facility		$129.76	$151.63	$232.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.10 / $117.98 / $174.77	Professional		$59.10	$117.98	$174.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $54.54 / $97.74	Facility		$46.60	$54.54	$97.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $54.66 / $99.89	Facility		$45.65	$54.66	$99.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $151.15 / $316.98	Professional		$64.53	$151.15	$316.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $58.40 / $85.00	Professional		$21.51	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.60 / $54.55 / $99.63	Facility		$46.60	$54.55	$99.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $114.15 / $160.11	Professional		$63.89	$114.15	$160.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $219.49 / $219.49 / $219.49	Facility		$219.49	$219.49	$219.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $248.20 / $316.98	Professional		$75.13	$248.20	$316.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $246.74 / $251.87	Professional		$105.12	$246.74	$251.87
United Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $107.68 / $186.15	Professional		$59.57	$107.68	$186.15