Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.74 / $46.10 / $158.91	Facility		$45.74	$46.10	$158.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $46.04 / $66.59	Professional		$39.94	$46.04	$66.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $60.92 / $186.07	Professional		$42.84	$60.92	$186.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.64 / $131.63 / $201.92	Facility		$112.64	$131.63	$201.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $107.03 / $154.62	Professional		$51.21	$107.03	$154.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.52 / $47.56 / $86.32	Facility		$40.52	$47.56	$86.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $47.57 / $86.32	Facility		$39.92	$47.57	$86.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $132.01 / $276.67	Professional		$56.05	$132.01	$276.67
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 $40.52 / $47.56 / $86.90	Facility		$40.52	$47.56	$86.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $99.50 / $140.80	Professional		$55.69	$99.50	$140.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $193.75 / $193.75 / $193.75	Facility		$193.75	$193.75	$193.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $218.10 / $276.67	Professional		$66.29	$218.10	$276.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $216.22 / $219.60	Professional		$92.34	$216.22	$219.60
United Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $87.49 / $163.58	Professional		$52.08	$87.49	$163.58