Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.58 / $159.32 / $222.25	Facility		$69.58	$159.32	$222.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $82.68 / $193.73	Professional		$64.84	$82.68	$193.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $124.20 / $222.27	Professional		$82.73	$124.20	$222.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.88 / $267.47 / $355.49	Facility		$228.88	$267.47	$355.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $173.84 / $242.79	Professional		$80.17	$173.84	$242.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $83.56 / $164.33	Facility		$64.84	$83.56	$164.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.89 / $83.56 / $164.33	Facility		$63.89	$83.56	$164.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $173.70 / $546.96	Professional		$93.70	$173.70	$546.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $116.39 / $216.70	Professional		$58.40	$116.39	$216.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $83.56 / $164.33	Facility		$64.84	$83.56	$164.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $121.01 / $195.40 / $256.95	Professional		$121.01	$195.40	$256.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.69 / $135.50 / $319.41	Facility		$94.69	$135.50	$319.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.50 / $369.36 / $546.96	Professional		$98.50	$369.36	$546.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $121.22 / $146.08	Professional		$121.22	$121.22	$146.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $210.00 / $254.43	Professional		$125.34	$210.00	$254.43
United Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $142.10 / $234.72	Professional		$91.31	$142.10	$234.72