Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.09 / $69.09 / $166.86	Facility		$69.09	$69.09	$166.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $69.09 / $188.49	Professional		$69.09	$69.09	$188.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.90 / $119.58 / $124.03	Facility		$102.90	$119.58	$124.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $133.47	Professional		$71.98	$71.98	$133.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.42 / $136.53 / $195.16	Facility		$73.42	$136.53	$195.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $83.73 / $95.15	Professional		$58.36	$83.73	$95.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $55.62 / $122.61	Facility		$49.35	$55.62	$122.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $55.62 / $122.61	Facility		$49.35	$55.62	$122.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $107.97	Professional		$71.98	$71.98	$107.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $55.62 / $85.00	Professional		$55.62	$55.62	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $55.62 / $122.61	Facility		$49.35	$55.62	$122.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $131.18 / $189.20	Professional		$63.64	$131.18	$189.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $273.35 / $273.35 / $273.35	Facility		$273.35	$273.35	$273.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $73.42	Professional		$73.42	$73.42	$73.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $78.09 / $84.81	Professional		$67.03	$78.09	$84.81
United Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
United Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $71.98 / $107.97	Professional		$71.98	$71.98	$107.97