Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.57 / $262.17 / $744.70	Facility		$180.57	$262.17	$744.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $167.97 / $470.61	Professional		$89.12	$167.97	$470.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $242.24 / $776.85	Professional		$132.60	$242.24	$776.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.36 / $432.80 / $663.92	Facility		$370.36	$432.80	$663.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $476.43 / $541.40	Professional		$151.88	$476.43	$541.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.92 / $149.76 / $250.52	Facility		$99.92	$149.76	$250.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.81 / $164.94 / $312.52	Facility		$101.81	$164.94	$312.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $282.52 / $740.76	Professional		$146.16	$282.52	$740.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $130.01 / $253.98	Professional		$57.01	$130.01	$253.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.92 / $149.76 / $250.52	Facility		$99.92	$149.76	$250.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $317.89 / $576.10	Professional		$171.00	$317.89	$576.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $293.39 / $570.73 / $570.73	Facility		$293.39	$570.73	$570.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $560.54 / $740.76	Professional		$200.67	$560.54	$740.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $297.83 / $297.83 / $297.83	Professional		$297.83	$297.83	$297.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $330.94 / $769.57 / $769.57	Professional		$330.94	$769.57	$769.57
United Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $104.04 / $104.04	Facility		$104.04	$104.04	$104.04
United Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $263.54 / $609.91	Professional		$146.16	$263.54	$609.91