Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.64 / $63.64 / $63.64	Facility		$63.64	$63.64	$63.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $66.06 / $81.14	Professional		$59.75	$66.06	$81.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $98.14 / $236.84	Professional		$70.70	$98.14	$236.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.64 / $227.45 / $348.92	Facility		$194.64	$227.45	$348.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $112.89 / $136.80	Professional		$65.77	$112.89	$136.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.85 / $69.11 / $96.75	Facility		$61.85	$69.11	$96.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.76 / $69.41 / $117.49	Facility		$61.76	$69.41	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $140.18 / $472.57	Professional		$87.46	$140.18	$472.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $84.18 / $200.86	Professional		$59.53	$84.18	$200.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.85 / $69.41 / $96.75	Facility		$61.85	$69.41	$96.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $143.65 / $221.82	Professional		$79.48	$143.65	$221.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $140.29 / $141.18 / $368.27	Facility		$140.29	$141.18	$368.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $383.40 / $472.57	Professional		$65.77	$383.40	$472.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $172.78 / $198.26	Professional		$172.78	$172.78	$198.26
United Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $127.97 / $207.24	Professional		$84.35	$127.97	$207.24