Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $58.56 / $177.05	Facility		$46.68	$58.56	$177.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $55.81 / $73.78	Professional		$45.82	$55.81	$73.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $83.93 / $160.88	Professional		$51.86	$83.93	$160.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.13 / $211.66 / $324.69	Facility		$181.13	$211.66	$324.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $137.28 / $192.56	Professional		$76.16	$137.28	$192.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $59.44 / $88.84	Facility		$45.50	$59.44	$88.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.58 / $59.44 / $93.36	Facility		$44.58	$59.44	$93.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $136.84 / $427.68	Professional		$76.98	$136.84	$427.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $111.84 / $126.47	Professional		$50.00	$111.84	$126.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $59.44 / $88.84	Facility		$45.82	$59.44	$88.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $125.93 / $197.58	Professional		$68.64	$125.93	$197.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $240.69	Facility		$102.18	$102.18	$240.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $292.95 / $427.68	Professional		$89.84	$292.95	$427.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $80.65	Professional		$65.05	$65.05	$80.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $110.79 / $141.19	Professional		$77.03	$110.79	$141.19
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $118.65 / $188.42	Professional		$74.13	$118.65	$188.42