Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.86 / $67.86 / $67.86	Facility		$67.86	$67.86	$67.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $72.54 / $86.53	Professional		$51.24	$72.54	$86.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $104.52 / $198.82	Professional		$71.43	$104.52	$198.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.54 / $228.51 / $350.54	Facility		$195.54	$228.51	$350.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $135.97 / $215.51	Professional		$66.06	$135.97	$215.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $75.28 / $101.79	Facility		$67.59	$75.28	$101.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $74.34 / $102.66	Facility		$67.59	$74.34	$102.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $135.31 / $472.20	Professional		$85.46	$135.31	$472.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $58.40 / $132.93	Professional		$39.32	$58.40	$132.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $75.28 / $101.79	Facility		$67.59	$75.28	$101.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $144.30 / $222.82	Professional		$79.84	$144.30	$222.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.93 / $140.86 / $378.53	Facility		$138.93	$140.86	$378.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $376.35 / $472.20	Professional		$66.06	$376.35	$472.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $89.14 / $89.14	Professional		$89.14	$89.14	$89.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $152.75 / $152.75	Professional		$109.68	$152.75	$152.75
United Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $128.04 / $203.42	Professional		$82.80	$128.04	$203.42