Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.44 / $56.04 / $65.93	Facility		$49.44	$56.04	$65.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $73.89 / $118.91	Professional		$56.04	$73.89	$118.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $122.33 / $238.77	Professional		$73.25	$122.33	$238.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $190.31 / $216.26	Professional		$87.73	$190.31	$216.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $73.23 / $98.90	Facility		$55.62	$73.23	$98.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.29 / $85.62 / $346.65	Facility		$57.29	$85.62	$346.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $118.90 / $212.15	Professional		$73.50	$118.90	$212.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $95.64	Professional		$50.00	$65.00	$95.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $73.23 / $98.90	Facility		$55.62	$73.23	$98.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.52 / $181.37 / $229.85	Professional		$122.52	$181.37	$229.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $146.22 / $146.22 / $346.65	Facility		$146.22	$146.22	$346.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.73 / $87.73 / $87.73	Professional		$87.73	$87.73	$87.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $158.57 / $158.57	Professional		$104.13	$158.57	$158.57
United Facility/Professional Professional Modifier Low / Median / High Price $73.62 / $146.16 / $227.88	Professional		$73.62	$146.16	$227.88