Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $80.90 / $80.90	Facility		$80.90	$80.90	$80.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $80.90 / $85.96	Professional		$80.90	$80.90	$85.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $137.13 / $301.75	Professional		$74.01	$137.13	$301.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.68 / $220.77 / $312.91	Facility		$120.68	$220.77	$312.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $114.84 / $234.71	Professional		$85.96	$114.84	$234.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $85.96 / $120.54	Facility		$79.16	$85.96	$120.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $85.96 / $121.35	Facility		$79.16	$85.96	$121.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $286.58	Professional		$136.47	$136.47	$286.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $316.57	Professional		$50.00	$70.00	$316.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $83.94 / $120.54	Facility		$79.16	$83.94	$120.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $171.96 / $277.52	Professional		$111.42	$171.96	$277.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $101.13 / $379.24	Facility		$85.96	$101.13	$379.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $107.20 / $844.00	Professional		$85.96	$107.20	$844.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $130.00 / $130.00	Professional		$96.88	$130.00	$130.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $177.41	Professional		$136.47	$136.47	$177.41