Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.14 / $200.00 / $235.94	Facility		$177.14	$200.00	$235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.44 / $125.29 / $241.33	Professional		$102.44	$125.29	$241.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.19 / $233.24 / $654.83	Professional		$103.19	$233.24	$654.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.19 / $370.67 / $492.65	Facility		$317.19	$370.67	$492.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $406.51 / $461.94	Professional		$108.39	$406.51	$461.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.45 / $131.36 / $249.86	Facility		$91.45	$131.36	$249.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.45 / $140.11 / $319.50	Facility		$91.45	$140.11	$319.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.61 / $260.88 / $780.47	Professional		$114.61	$260.88	$780.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $92.86 / $222.99	Professional		$57.31	$92.86	$222.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.45 / $131.36 / $249.86	Facility		$91.45	$131.36	$249.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $220.35 / $317.70 / $404.55	Professional		$220.35	$317.70	$404.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $513.16 / $513.16	Facility		$276.14	$513.16	$513.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.21 / $541.25 / $780.47	Professional		$171.21	$541.25	$780.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $312.39 / $312.39 / $312.39	Professional		$312.39	$312.39	$312.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.33 / $685.89 / $724.37	Professional		$181.33	$685.89	$724.37
United Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $232.74 / $474.41	Professional		$114.04	$232.74	$474.41