Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $75.53 / $283.07	Facility		$66.52	$75.53	$283.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $68.69 / $97.15	Professional		$55.78	$68.69	$97.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $73.64 / $207.92	Professional		$57.32	$73.64	$207.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.24 / $221.14 / $339.23	Facility		$189.24	$221.14	$339.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $159.26 / $268.39	Professional		$58.40	$159.26	$268.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $73.47 / $100.65	Facility		$61.38	$73.47	$100.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $74.26 / $100.77	Facility		$60.21	$74.26	$100.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $142.74 / $442.04	Professional		$60.44	$142.74	$442.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $64.69 / $148.79	Professional		$41.40	$64.69	$148.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $73.47 / $100.65	Facility		$61.38	$73.47	$100.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $121.70 / $210.95	Professional		$80.20	$121.70	$210.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $151.85 / $151.85 / $151.85	Facility		$151.85	$151.85	$151.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $320.85 / $442.04	Professional		$60.77	$320.85	$442.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.44 / $223.70 / $254.18	Professional		$75.44	$223.70	$254.18
United Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $95.88 / $232.37	Professional		$56.79	$95.88	$232.37