Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.49 / $57.49 / $61.39	Facility		$57.49	$57.49	$61.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $58.58 / $77.11	Professional		$48.29	$58.58	$77.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $95.05 / $172.37	Professional		$61.23	$95.05	$172.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.61 / $195.86 / $260.32	Facility		$167.61	$195.86	$260.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $86.72 / $117.31	Professional		$55.95	$86.72	$117.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $61.65 / $111.14	Facility		$51.68	$61.65	$111.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.74 / $61.65 / $116.66	Facility		$49.74	$61.65	$116.66
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 $51.68 / $61.65 / $116.82	Facility		$51.68	$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 / $112.78 / $293.80	Facility		$78.31	$112.78	$293.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $299.70 / $403.56	Professional		$55.95	$299.70	$403.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $174.80 / $187.65	Professional		$63.45	$174.80	$187.65
United Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $107.54 / $171.24	Professional		$66.40	$107.54	$171.24