Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.57 / $173.77 / $200.00	Facility		$130.57	$173.77	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $92.25 / $177.60	Professional		$69.20	$92.25	$177.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $171.04 / $481.40	Professional		$73.98	$171.04	$481.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.49 / $271.68 / $361.09	Facility		$232.49	$271.68	$361.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.54 / $298.35 / $339.04	Professional		$75.54	$298.35	$339.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $92.47 / $163.86	Facility		$67.27	$92.47	$163.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.18 / $92.68 / $202.25	Facility		$58.18	$92.68	$202.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $186.10 / $572.92	Professional		$79.20	$186.10	$572.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $66.31 / $148.66	Professional		$38.69	$66.31	$148.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $92.47 / $163.86	Facility		$67.27	$92.47	$163.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $203.12 / $299.14	Professional		$162.50	$203.12	$299.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $219.04 / $378.47 / $378.47	Facility		$219.04	$378.47	$378.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.65 / $396.25 / $572.92	Professional		$125.65	$396.25	$572.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $229.67 / $229.67 / $229.67	Professional		$229.67	$229.67	$229.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $135.84 / $502.98 / $531.58	Professional		$135.84	$502.98	$531.58
United Facility/Professional Facility Modifier Low / Median / High Price $336.91 / $336.91 / $336.91	Facility		$336.91	$336.91	$336.91
United Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $170.39 / $347.31	Professional		$79.20	$170.39	$347.31