Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $109.15 / $188.88	Professional		$66.92	$109.15	$188.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $327.64 / $658.52	Professional		$135.27	$327.64	$658.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $349.61 / $397.28 / $563.90	Facility		$349.61	$397.28	$563.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.04 / $213.57 / $467.41	Professional		$94.04	$213.57	$467.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $121.72 / $307.26	Facility		$71.12	$121.72	$307.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $124.71 / $311.01	Facility		$71.12	$124.71	$311.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.95 / $373.14 / $839.44	Professional		$122.95	$373.14	$839.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $214.51 / $259.20	Professional		$51.84	$214.51	$259.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $121.72 / $307.26	Facility		$71.12	$121.72	$307.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.07 / $245.90 / $384.97	Professional		$156.07	$245.90	$384.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $183.24 / $183.24 / $323.95	Facility		$183.24	$183.24	$323.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $478.17 / $839.44	Professional		$159.81	$478.17	$839.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $261.95 / $409.67	Professional		$261.95	$261.95	$409.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $356.87 / $374.37 / $570.73	Professional		$356.87	$374.37	$570.73
United Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $215.91 / $490.83	Professional		$103.67	$215.91	$490.83