Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.41 / $200.00 / $204.64	Facility		$167.41	$200.00	$204.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $117.94 / $204.64	Professional		$88.39	$117.94	$204.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $228.33 / $616.63	Professional		$102.86	$228.33	$616.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.04 / $319.07 / $424.07	Facility		$273.04	$319.07	$424.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $351.49 / $399.43	Professional		$120.60	$351.49	$399.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $131.53 / $198.82	Facility		$93.00	$131.53	$198.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $153.13 / $244.49	Facility		$93.00	$153.13	$244.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.35 / $271.38 / $734.89	Professional		$115.35	$271.38	$734.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $80.11 / $188.51	Professional		$38.00	$80.11	$188.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $138.47 / $198.82	Facility		$93.00	$138.47	$198.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.10 / $286.30 / $411.30	Professional		$191.10	$286.30	$411.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $238.78 / $445.07 / $445.07	Facility		$238.78	$445.07	$445.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $542.75 / $734.89	Professional		$162.84	$542.75	$734.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $294.20 / $294.20 / $294.20	Professional		$294.20	$294.20	$294.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $626.30 / $626.30	Professional		$205.82	$626.30	$626.30
United Facility/Professional Professional Modifier Low / Median / High Price $111.64 / $233.38 / $424.12	Professional		$111.64	$233.38	$424.12