Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.29 / $64.29 / $64.29	Facility		$64.29	$64.29	$64.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.91 / $65.98 / $81.06	Professional		$57.91	$65.98	$81.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $97.18 / $231.20	Professional		$70.16	$97.18	$231.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.54 / $228.51 / $350.54	Facility		$195.54	$228.51	$350.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $114.04 / $136.49	Professional		$66.06	$114.04	$136.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $69.09 / $96.44	Facility		$62.11	$69.09	$96.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.60 / $69.09 / $116.35	Facility		$61.60	$69.09	$116.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.46 / $135.31 / $472.20	Professional		$85.46	$135.31	$472.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $58.40 / $132.93	Professional		$39.32	$58.40	$132.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $69.81 / $96.44	Facility		$62.11	$69.81	$96.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $144.30 / $222.82	Professional		$79.84	$144.30	$222.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.93 / $140.86 / $378.53	Facility		$138.93	$140.86	$378.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $376.35 / $472.20	Professional		$66.06	$376.35	$472.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.14 / $89.14 / $89.14	Professional		$89.14	$89.14	$89.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.19 / $152.75 / $152.75	Professional		$123.19	$152.75	$152.75
United Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $126.71 / $203.42	Professional		$82.99	$126.71	$203.42