Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.51 / $135.28 / $188.72	Facility		$63.51	$135.28	$188.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $64.61 / $91.37	Professional		$56.84	$64.61	$91.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.08 / $111.28 / $196.92	Professional		$73.08	$111.28	$196.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $223.24 / $342.46	Facility		$191.04	$223.24	$342.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $180.65 / $205.29	Professional		$81.17	$180.65	$205.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $76.00 / $151.76	Facility		$58.47	$76.00	$151.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.10 / $76.06 / $151.76	Facility		$58.10	$76.06	$151.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $131.74 / $464.35	Professional		$79.70	$131.74	$464.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $143.47 / $188.43	Professional		$51.47	$143.47	$188.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $76.00 / $151.76	Facility		$57.49	$76.00	$151.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.43 / $171.17 / $238.70	Professional		$135.43	$171.17	$238.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.52 / $83.52 / $328.49	Facility		$83.52	$83.52	$328.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $376.40 / $464.35	Professional		$85.55	$376.40	$464.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $127.75	Professional		$127.75	$127.75	$127.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $213.00 / $213.00	Professional		$127.75	$213.00	$213.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $128.33 / $203.45	Professional		$79.04	$128.33	$203.45