Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $73.06 / $219.55	Facility		$64.95	$73.06	$219.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $73.06 / $90.80	Professional		$62.17	$73.06	$90.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $104.74 / $203.74	Professional		$72.18	$104.74	$203.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.38 / $262.20 / $402.23	Facility		$224.38	$262.20	$402.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $191.07 / $239.54	Professional		$97.17	$191.07	$239.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $77.76 / $118.04	Facility		$64.95	$77.76	$118.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $78.36 / $129.91	Facility		$64.73	$78.36	$129.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $161.44 / $530.02	Professional		$92.17	$161.44	$530.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $84.74 / $200.86	Professional		$59.53	$84.74	$200.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $77.76 / $110.45	Facility		$64.95	$77.76	$110.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $165.10 / $247.35	Professional		$91.36	$165.10	$247.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $142.84 / $142.84 / $339.11	Facility		$142.84	$142.84	$339.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.13 / $364.41 / $530.02	Professional		$107.13	$364.41	$530.02
Security Health Facility/Professional Facility Modifier Low / Median / High Price $112.88 / $112.88 / $127.13	Facility		$112.88	$112.88	$127.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $154.91 / $175.63	Professional		$100.56	$154.91	$175.63
United Facility/Professional Professional Modifier Low / Median / High Price $91.51 / $140.75 / $217.37	Professional		$91.51	$140.75	$217.37