Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Facility		$67.20	$67.20	$67.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $84.00	Professional		$67.20	$67.20	$84.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $113.98 / $257.45	Professional		$63.15	$113.98	$257.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $159.74 / $252.00	Facility		$71.40	$159.74	$252.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $86.98 / $98.84	Professional		$61.03	$86.98	$98.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $67.20 / $91.38	Facility		$49.20	$67.20	$91.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $67.20 / $109.65	Facility		$49.20	$67.20	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $167.58	Professional		$79.80	$79.80	$167.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $51.00 / $85.00	Professional		$4.76	$51.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $67.20 / $91.38	Facility		$49.20	$67.20	$91.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $145.93 / $203.50	Professional		$66.54	$145.93	$203.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $327.45 / $327.45 / $327.45	Facility		$327.45	$327.45	$327.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $286.70 / $429.65	Professional		$71.40	$286.70	$429.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $205.26 / $205.26	Professional		$75.93	$205.26	$205.26
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $103.74	Professional		$79.80	$79.80	$103.74