Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.49 / $174.30 / $554.86	Facility		$61.49	$174.30	$554.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $61.49 / $76.86	Professional		$61.49	$61.49	$76.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $64.05 / $136.51	Professional		$42.44	$64.05	$136.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.33 / $86.02 / $135.69	Facility		$65.33	$86.02	$135.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $53.18 / $65.33	Professional		$32.83	$53.18	$65.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $61.49 / $76.86	Facility		$26.48	$61.49	$76.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $61.49 / $79.38	Facility		$26.48	$61.49	$79.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $134.51	Professional		$64.05	$64.05	$134.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $34.85 / $85.00	Professional		$19.76	$34.85	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $61.49 / $76.86	Facility		$26.48	$61.49	$76.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $93.87 / $130.90	Professional		$42.80	$93.87	$130.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $288.23 / $288.23 / $288.23	Facility		$288.23	$288.23	$288.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.33 / $81.47 / $292.07	Professional		$65.33	$81.47	$292.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $34.29 / $34.29	Professional		$34.29	$34.29	$34.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $110.44 / $110.44	Professional		$40.86	$110.44	$110.44
United Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $83.27	Professional		$64.05	$64.05	$83.27