Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.54 / $128.32 / $200.00	Facility		$92.54	$128.32	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.09 / $65.09 / $128.32	Professional		$47.09	$65.09	$128.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $119.54 / $338.45	Professional		$52.17	$119.54	$338.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.51 / $196.92 / $261.72	Facility		$168.51	$196.92	$261.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $218.31 / $248.08	Professional		$55.56	$218.31	$248.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $77.58 / $120.52	Facility		$49.70	$77.58	$120.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $82.88 / $191.10	Facility		$49.70	$82.88	$191.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $136.41 / $397.13	Professional		$57.38	$136.41	$397.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $49.03 / $77.04	Professional		$19.71	$49.03	$77.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $49.70 / $77.58 / $120.52	Facility		$49.70	$77.58	$120.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $172.65 / $214.97	Professional		$119.60	$172.65	$214.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $148.30 / $342.77 / $342.77	Facility		$148.30	$342.77	$342.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.95 / $273.14 / $397.13	Professional		$91.95	$273.14	$397.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $159.74 / $159.74	Professional		$159.74	$159.74	$159.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $100.57 / $341.16 / $388.98	Professional		$100.57	$341.16	$388.98
United Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $117.45 / $221.67	Professional		$57.38	$117.45	$221.67