Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $46.68 / $138.19	Facility		$46.68	$46.68	$138.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $49.62 / $81.51	Professional		$41.92	$49.62	$81.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $66.90 / $142.16	Professional		$44.50	$66.90	$142.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.57 / $164.27 / $252.00	Facility		$140.57	$164.27	$252.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.50 / $132.99 / $151.13	Professional		$70.50	$132.99	$151.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.58 / $52.75 / $87.69	Facility		$44.58	$52.75	$87.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.58 / $53.14 / $87.69	Facility		$44.58	$53.14	$87.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.30 / $94.57 / $1,028.34	Professional		$60.30	$94.57	$1,028.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.40 / $80.86	Professional		$32.34	$58.40	$80.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $44.58 / $53.14 / $87.69	Facility		$44.58	$53.14	$87.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $103.35 / $159.76	Professional		$57.19	$103.35	$159.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.55 / $102.18 / $240.69	Facility		$100.55	$102.18	$240.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $275.64 / $1,028.34	Professional		$73.56	$275.64	$1,028.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $65.05	Professional		$65.05	$65.05	$65.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.48 / $110.79 / $111.03	Professional		$65.48	$110.79	$111.03
United Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $87.11 / $148.99	Professional		$60.28	$87.11	$148.99