Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $65.23 / $109.84	Facility		$65.23	$65.23	$109.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $69.31 / $84.72	Professional		$57.07	$69.31	$84.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $101.62 / $215.76	Professional		$65.95	$101.62	$215.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $219.03 / $336.00	Facility		$187.43	$219.03	$336.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $97.97 / $200.14	Professional		$64.28	$97.97	$200.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $73.06 / $105.41	Facility		$61.74	$73.06	$105.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $73.06 / $142.27	Facility		$62.83	$73.06	$142.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $130.26 / $605.91	Professional		$73.26	$130.26	$605.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $65.00 / $137.89	Professional		$39.56	$65.00	$137.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.74 / $72.12 / $142.27	Facility		$61.74	$72.12	$142.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.64 / $170.38 / $237.60	Professional		$116.64	$170.38	$237.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $368.27 / $368.27 / $368.27	Facility		$368.27	$368.27	$368.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $351.35 / $605.91	Professional		$64.28	$351.35	$605.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $211.09 / $240.20	Professional		$122.41	$211.09	$240.20
United Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $111.85 / $261.52	Professional		$70.27	$111.85	$261.52