Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.90 / $117.18 / $163.47	Facility		$54.90	$117.18	$163.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $56.08 / $79.01	Professional		$49.26	$56.08	$79.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $96.29 / $170.83	Professional		$62.33	$96.29	$170.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.91 / $192.70 / $295.61	Facility		$164.91	$192.70	$295.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $156.38 / $177.71	Professional		$70.30	$156.38	$177.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $65.53 / $131.51	Facility		$50.41	$65.53	$131.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $65.89 / $131.51	Facility		$50.25	$65.89	$131.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $114.31 / $404.24	Professional		$69.94	$114.31	$404.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $94.95 / $128.59	Professional		$49.72	$94.95	$128.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $65.53 / $131.51	Facility		$49.80	$65.53	$131.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $148.29 / $206.80	Professional		$117.33	$148.29	$206.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72.36 / $72.36 / $284.58	Facility		$72.36	$72.36	$284.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.47 / $326.60 / $404.24	Professional		$74.47	$326.60	$404.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $110.83 / $110.83	Professional		$110.83	$110.83	$110.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $184.39 / $184.39	Professional		$110.83	$184.39	$184.39
United Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $109.02 / $176.53	Professional		$66.84	$109.02	$176.53