Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.66 / $58.66 / $61.41	Facility		$58.66	$58.66	$61.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $61.41 / $69.69	Professional		$50.54	$61.41	$69.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $77.95 / $260.27	Professional		$57.47	$77.95	$260.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.92 / $203.23 / $311.77	Facility		$173.92	$203.23	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $89.06 / $234.14	Professional		$67.88	$89.06	$234.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $65.34 / $84.72	Facility		$57.26	$65.34	$84.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.91 / $65.34 / $86.45	Facility		$53.91	$65.34	$86.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $137.83 / $856.96	Professional		$73.65	$137.83	$856.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $62.75 / $134.51	Professional		$39.92	$62.75	$134.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $65.93 / $84.72	Facility		$57.26	$65.93	$84.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.25 / $116.40 / $200.13	Professional		$69.25	$116.40	$200.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $120.42 / $120.42	Facility		$120.42	$120.42	$120.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $312.89 / $856.96	Professional		$270.95	$312.89	$856.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $221.72 / $232.28	Professional		$77.91	$221.72	$232.28
United Facility/Professional Professional Modifier Low / Median / High Price $71.47 / $116.92 / $176.43	Professional		$71.47	$116.92	$176.43