Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.57 / $175.93 / $200.00	Facility		$128.57	$175.93	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $97.03 / $175.93	Professional		$71.43	$97.03	$175.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $128.57 / $469.37	Professional		$80.80	$128.57	$469.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.29 / $273.79 / $420.00	Facility		$234.29	$273.79	$420.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $302.76 / $344.05	Professional		$121.20	$302.76	$344.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $128.57 / $175.80	Facility		$74.28	$128.57	$175.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.95 / $128.57 / $225.13	Facility		$72.95	$128.57	$225.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $183.73 / $548.32	Professional		$84.81	$183.73	$548.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $94.25 / $190.84	Professional		$41.36	$94.25	$190.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $128.57 / $175.80	Facility		$74.73	$128.57	$175.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.27 / $218.82 / $348.97	Professional		$157.27	$218.82	$348.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $205.68 / $381.47 / $381.47	Facility		$205.68	$381.47	$381.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $405.40 / $548.32	Professional		$127.52	$405.40	$548.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $221.50 / $221.50 / $221.50	Professional		$221.50	$221.50	$221.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $202.85 / $539.51 / $539.51	Professional		$202.85	$539.51	$539.51
United Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $154.10 / $355.33	Professional		$82.20	$154.10	$355.33