Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.01 / $84.01 / $283.02	Facility		$84.01	$84.01	$283.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $84.01 / $104.18	Professional		$66.97	$84.01	$104.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $111.01 / $247.27	Professional		$42.80	$111.01	$247.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.47 / $250.62 / $384.46	Facility		$214.47	$250.62	$384.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $184.65 / $223.34	Professional		$61.36	$184.65	$223.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $91.75 / $211.74	Facility		$70.50	$91.75	$211.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $92.41 / $211.74	Facility		$70.50	$92.41	$211.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $79.04 / $228.76	Professional		$35.40	$79.04	$228.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $66.18 / $135.59	Professional		$38.69	$66.18	$135.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $91.75 / $211.74	Facility		$70.50	$91.75	$211.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.13 / $179.85 / $250.80	Professional		$97.13	$179.85	$250.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $147.82 / $184.78 / $345.79	Facility		$147.82	$184.78	$345.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $332.60 / $503.43	Professional		$64.22	$332.60	$503.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $94.41 / $94.41 / $94.41	Professional		$94.41	$94.41	$94.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $272.19 / $272.19 / $272.19	Professional		$272.19	$272.19	$272.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $90.61 / $201.68	Professional		$38.24	$90.61	$201.68