Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $67.17 / $67.17	Facility		$67.17	$67.17	$67.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $72.59 / $87.15	Professional		$53.10	$72.59	$87.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $104.65 / $201.38	Professional		$70.70	$104.65	$201.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $227.45 / $348.92	Facility		$194.64	$227.45	$348.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $134.75 / $216.00	Professional		$65.77	$134.75	$216.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $74.78 / $100.76	Facility		$67.17	$74.78	$100.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $74.19 / $103.67	Facility		$67.17	$74.19	$103.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $139.18 / $472.57	Professional		$88.16	$139.18	$472.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $84.18 / $200.86	Professional		$59.53	$84.18	$200.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $74.78 / $100.76	Facility		$67.17	$74.78	$100.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $143.65 / $221.82	Professional		$79.48	$143.65	$221.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $140.29 / $141.18 / $368.27	Facility		$140.29	$141.18	$368.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $385.70 / $472.57	Professional		$65.77	$385.70	$472.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $90.35 / $90.35	Professional		$90.35	$90.35	$90.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $153.10 / $153.10	Professional		$112.67	$153.10	$153.10
United Facility/Professional Professional Modifier Low / Median / High Price $88.16 / $146.46 / $214.37	Professional		$88.16	$146.46	$214.37