Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.86 / $78.34 / $214.77	Facility		$70.86	$78.34	$214.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $74.75 / $85.66	Professional		$60.50	$74.75	$85.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $100.06 / $200.22	Professional		$65.63	$100.06	$200.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.07 / $254.83 / $390.92	Facility		$218.07	$254.83	$390.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $182.71 / $233.06	Professional		$94.54	$182.71	$233.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.76 / $78.34 / $107.77	Facility		$64.76	$78.34	$107.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.53 / $78.34 / $115.47	Facility		$64.53	$78.34	$115.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $166.51 / $512.83	Professional		$95.14	$166.51	$512.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $61.81 / $134.51	Professional		$39.56	$61.81	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.76 / $78.34 / $107.77	Facility		$64.76	$78.34	$107.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.93 / $162.50 / $243.45	Professional		$89.93	$162.50	$243.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $140.38 / $140.38 / $337.57	Facility		$140.38	$140.38	$337.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $354.56 / $512.83	Professional		$104.00	$354.56	$512.83
Security Health Facility/Professional Facility Modifier Low / Median / High Price $100.41 / $100.41 / $117.69	Facility		$100.41	$100.41	$117.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $152.22 / $170.87	Professional		$88.03	$152.22	$170.87
United Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $142.21 / $224.18	Professional		$90.21	$142.21	$224.18