Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $70.59 / $285.58	Facility		$55.25	$70.59	$285.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $71.41 / $99.80	Professional		$55.25	$71.41	$99.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $89.00 / $269.45	Professional		$65.78	$89.00	$269.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.95 / $234.83 / $360.23	Facility		$200.95	$234.83	$360.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.35 / $95.11 / $250.81	Professional		$61.35	$95.11	$250.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.43 / $83.04 / $126.96	Facility		$65.43	$83.04	$126.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.09 / $83.04 / $125.10	Facility		$64.09	$83.04	$125.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $194.50 / $491.49	Professional		$84.47	$194.50	$491.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $88.06 / $203.86	Professional		$59.78	$88.06	$203.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.13 / $83.04 / $126.96	Facility		$66.13	$83.04	$126.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $122.95 / $214.20	Professional		$80.93	$122.95	$214.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $160.93 / $160.93 / $160.93	Facility		$160.93	$160.93	$160.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $329.81 / $491.49	Professional		$64.00	$329.81	$491.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $345.73 / $393.61	Professional		$88.13	$345.73	$393.61
United Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $128.25 / $272.70	Professional		$76.25	$128.25	$272.70