Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.47 / $245.63 / $264.25	Facility		$93.47	$245.63	$264.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $85.87 / $100.22	Professional		$37.06	$85.87	$100.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,856.00 / $4,638.00	Facility		$1,314.00	$2,856.00	$4,638.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $123.51 / $277.52	Professional		$32.18	$123.51	$277.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.67 / $96.26 / $112.48	Facility		$53.67	$96.26	$112.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $92.78 / $251.03	Professional		$33.86	$92.78	$251.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $93.47 / $230.19	Facility		$77.33	$93.47	$230.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $118.21 / $255.63	Facility		$77.33	$118.21	$255.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $79.84 / $279.48	Professional		$31.13	$79.84	$279.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $85.00	Professional		$55.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $93.47 / $230.19	Facility		$77.33	$93.47	$230.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.83 / $192.83 / $270.45	Professional		$70.83	$192.83	$270.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $202.05 / $378.47	Facility		$161.63	$202.05	$378.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.17 / $363.69 / $568.98	Professional		$57.17	$363.69	$568.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $111.01 / $111.01	Professional		$19.22	$111.01	$111.01
United Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $77.91 / $159.69	Professional		$34.92	$77.91	$159.69