Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $58.82 / $165.45	Facility		$47.12	$58.82	$165.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $51.60 / $70.37	Professional		$40.86	$51.60	$70.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $71.05 / $141.26	Professional		$46.65	$71.05	$141.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.00 / $191.65 / $294.00	Facility		$164.00	$191.65	$294.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $132.58 / $174.58	Professional		$67.14	$132.58	$174.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $58.82 / $82.35	Facility		$45.60	$58.82	$82.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.34 / $58.47 / $88.95	Facility		$45.34	$58.47	$88.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $125.88 / $389.46	Professional		$72.01	$125.88	$389.46
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 $45.60 / $58.82 / $82.35	Facility		$45.60	$58.82	$82.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $113.38 / $180.01	Professional		$63.18	$113.38	$180.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.18 / $93.18 / $222.53	Facility		$93.18	$93.18	$222.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $265.58 / $389.46	Professional		$70.81	$265.58	$389.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.58 / $101.05 / $127.99	Professional		$59.58	$101.05	$127.99
United Facility/Professional Professional Modifier Low / Median / High Price $68.98 / $104.66 / $169.48	Professional		$68.98	$104.66	$169.48