Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $42.78 / $42.78	Facility		$42.78	$42.78	$42.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.94 / $45.03 / $56.80	Professional		$40.94	$45.03	$56.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $65.90 / $165.60	Professional		$47.53	$65.90	$165.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.56 / $153.74 / $235.84	Facility		$131.56	$153.74	$235.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $75.88 / $92.15	Professional		$44.04	$75.88	$92.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $46.75 / $67.63	Facility		$41.77	$46.75	$67.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.94 / $47.06 / $78.90	Facility		$40.94	$47.06	$78.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.87 / $97.02 / $332.57	Professional		$60.87	$97.02	$332.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $32.57 / $70.00	Professional		$20.35	$32.57	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $47.06 / $67.63	Facility		$41.77	$47.06	$67.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $96.20 / $148.55	Professional		$53.24	$96.20	$148.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.21 / $95.10 / $246.06	Facility		$94.21	$95.10	$246.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $267.35 / $332.57	Professional		$44.04	$267.35	$332.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $116.02 / $116.02 / $133.27	Professional		$116.02	$116.02	$133.27
United Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $89.24 / $144.51	Professional		$58.36	$89.24	$144.51