Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.37 / $154.96 / $200.00	Facility		$113.37	$154.96	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $113.37 / $451.30	Professional		$70.68	$113.37	$451.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $118.49 / $423.30	Professional		$73.14	$118.49	$423.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $235.88 / $361.84	Facility		$201.85	$235.88	$361.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $264.33 / $300.39	Professional		$95.34	$264.33	$300.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $108.93 / $173.60	Facility		$66.59	$108.93	$173.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $113.37 / $221.61	Facility		$66.59	$113.37	$221.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $156.55 / $484.57	Professional		$83.91	$156.55	$484.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $61.13 / $129.94	Professional		$25.84	$61.13	$129.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.59 / $110.53 / $172.18	Facility		$66.59	$110.53	$172.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $173.54 / $319.64	Professional		$95.93	$173.54	$319.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $179.58 / $333.03 / $333.03	Facility		$179.58	$333.03	$333.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $384.75 / $484.57	Professional		$111.34	$384.75	$484.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $197.73 / $197.73 / $197.73	Professional		$197.73	$197.73	$197.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $201.44 / $471.05 / $471.05	Professional		$201.44	$471.05	$471.05
United Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $157.75 / $337.23	Professional		$82.82	$157.75	$337.23