Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.63 / $59.65 / $210.03	Facility		$52.63	$59.65	$210.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $70.17 / $233.96	Professional		$56.33	$70.17	$233.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $110.67 / $200.19	Professional		$69.40	$110.67	$200.19
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 $130.72 / $201.66 / $229.16	Professional		$130.72	$201.66	$229.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $75.28 / $165.57	Facility		$45.65	$75.28	$165.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $75.28 / $165.57	Facility		$45.65	$75.28	$165.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $121.45 / $188.49	Professional		$75.28	$121.45	$188.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $95.09 / $200.04	Professional		$59.78	$95.09	$200.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.65 / $75.28 / $165.57	Facility		$45.65	$75.28	$165.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $187.43 / $262.88	Professional		$104.90	$187.43	$262.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $152.82 / $154.94 / $367.85	Facility		$152.82	$154.94	$367.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.97 / $92.97 / $181.95	Professional		$92.97	$92.97	$181.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $237.78 / $237.78	Professional		$156.71	$237.78	$237.78
United Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $111.00 / $192.45	Professional		$74.70	$111.00	$192.45