Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.16 / $200.00 / $538.85	Facility		$92.16	$200.00	$538.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.16 / $92.16 / $385.46	Professional		$58.16	$92.16	$385.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $94.91 / $340.02	Professional		$59.46	$94.91	$340.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.19 / $189.55 / $290.77	Facility		$162.19	$189.55	$290.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $213.08 / $242.14	Professional		$81.56	$213.08	$242.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $92.16 / $242.06	Facility		$54.25	$92.16	$242.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $94.45 / $278.10	Facility		$54.00	$94.45	$278.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $141.13 / $480.87	Professional		$70.62	$141.13	$480.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $60.55 / $127.76	Professional		$25.84	$60.55	$127.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $92.16 / $233.09	Facility		$54.25	$92.16	$233.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.30 / $141.19 / $257.66	Professional		$67.30	$141.19	$257.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $144.75 / $514.16 / $514.16	Facility		$144.75	$514.16	$514.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $309.05 / $480.87	Professional		$89.75	$309.05	$480.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $159.41 / $159.41 / $159.41	Professional		$159.41	$159.41	$159.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $182.07 / $379.72 / $379.72	Professional		$182.07	$379.72	$379.72
United Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $126.74 / $270.88	Professional		$69.61	$126.74	$270.88