Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $51.45 / $154.22	Facility		$43.34	$51.45	$154.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $50.68 / $64.91	Professional		$41.88	$50.68	$64.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $71.27 / $140.56	Professional		$47.11	$71.27	$140.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.60 / $185.33 / $284.31	Facility		$158.60	$185.33	$284.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $127.46 / $168.60	Professional		$66.33	$127.46	$168.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $53.13 / $73.43	Facility		$43.34	$53.13	$73.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $53.13 / $77.39	Facility		$43.34	$53.13	$77.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $121.74 / $376.47	Professional		$69.66	$121.74	$376.47
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 $43.34 / $53.13 / $73.43	Facility		$43.34	$53.13	$73.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $115.70 / $173.34	Professional		$63.61	$115.70	$173.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $95.52 / $224.03	Facility		$95.52	$95.52	$224.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $256.50 / $376.47	Professional		$71.64	$256.50	$376.47
Security Health Facility/Professional Facility Modifier Low / Median / High Price $70.88 / $70.88 / $88.14	Facility		$70.88	$70.88	$88.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $147.07 / $175.49	Professional		$65.95	$147.07	$175.49
United Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $101.29 / $163.91	Professional		$68.89	$101.29	$163.91