Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $56.11 / $157.69	Facility		$48.96	$56.11	$157.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $51.03 / $60.82	Professional		$42.30	$51.03	$60.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.64 / $71.67 / $140.09	Professional		$46.64	$71.67	$140.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.50 / $186.39 / $285.92	Facility		$159.50	$186.39	$285.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $128.86 / $169.53	Professional		$67.81	$128.86	$169.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.63 / $56.52 / $78.55	Facility		$46.63	$56.52	$78.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.89 / $56.52 / $80.29	Facility		$44.89	$56.52	$80.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $119.70 / $369.98	Professional		$68.48	$119.70	$369.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $61.81 / $132.93	Professional		$39.32	$61.81	$132.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.63 / $56.52 / $78.55	Facility		$46.63	$56.52	$78.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $116.02 / $173.26	Professional		$65.33	$116.02	$173.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $96.78 / $96.78 / $230.12	Facility		$96.78	$96.78	$230.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $257.89 / $369.98	Professional		$72.59	$257.89	$369.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $104.95 / $124.31	Professional		$84.78	$104.95	$124.31
United Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $104.34 / $165.68	Professional		$67.76	$104.34	$165.68