Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $57.16 / $61.39	Facility		$57.16	$57.16	$61.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.47 / $58.58 / $77.11	Professional		$48.47	$58.58	$77.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $97.27 / $172.11	Professional		$61.23	$97.27	$172.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $194.81 / $258.92	Facility		$166.71	$194.81	$258.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $86.72 / $116.71	Professional		$55.95	$86.72	$116.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $61.65 / $111.14	Facility		$51.80	$61.65	$111.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $61.65 / $116.82	Facility		$49.50	$61.65	$116.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $123.93 / $403.56	Professional		$69.28	$123.93	$403.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $63.30 / $137.89	Professional		$39.92	$63.30	$137.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $52.34 / $61.65 / $116.82	Facility		$52.34	$61.65	$116.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.52 / $143.50 / $198.73	Professional		$101.52	$143.50	$198.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $112.14 / $293.80	Facility		$78.31	$112.14	$293.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $298.55 / $403.56	Professional		$55.95	$298.55	$403.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $173.82 / $186.65	Professional		$63.45	$173.82	$186.65
United Facility/Professional Facility Modifier Low / Median / High Price $82.44 / $82.44 / $82.44	Facility		$82.44	$82.44	$82.44
United Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $107.65 / $171.56	Professional		$67.34	$107.65	$171.56