Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.84 / $94.84 / $94.84	Facility		$94.84	$94.84	$94.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $100.96 / $121.55	Professional		$72.18	$100.96	$121.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $146.72 / $278.80	Professional		$99.83	$146.72	$278.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.94 / $320.12 / $491.07	Facility		$273.94	$320.12	$491.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $190.48 / $302.11	Professional		$92.55	$190.48	$302.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.84 / $105.53 / $142.26	Facility		$94.84	$105.53	$142.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.84 / $103.99 / $143.91	Facility		$94.84	$103.99	$143.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $189.94 / $661.36	Professional		$119.15	$189.94	$661.36
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 $94.84 / $105.53 / $142.26	Facility		$94.84	$105.53	$142.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.87 / $202.15 / $312.14	Professional		$111.87	$202.15	$312.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.76 / $197.46 / $529.32	Facility		$194.76	$197.46	$529.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $524.15 / $661.36	Professional		$92.55	$524.15	$661.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $125.01 / $125.01	Professional		$125.01	$125.01	$125.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $214.13 / $214.13	Professional		$153.88	$214.13	$214.13
United Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $189.04 / $283.31	Professional		$119.15	$189.04	$283.31