Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.65 / $206.98 / $658.95	Facility		$151.65	$206.98	$658.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $106.50 / $305.88	Professional		$83.89	$106.50	$305.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $151.65 / $568.69	Professional		$97.84	$151.65	$568.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.14 / $318.02 / $487.84	Facility		$272.14	$318.02	$487.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.82 / $350.72 / $398.55	Professional		$112.82	$350.72	$398.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $128.87 / $209.71	Facility		$88.20	$128.87	$209.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.78 / $145.88 / $296.45	Facility		$86.78	$145.88	$296.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $211.35 / $652.77	Professional		$108.46	$211.35	$652.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $94.25 / $191.96	Professional		$39.86	$94.25	$191.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $128.79 / $197.78	Facility		$88.20	$128.79	$197.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $234.27 / $424.09	Professional		$158.88	$234.27	$424.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $238.25 / $514.16 / $514.16	Facility		$238.25	$514.16	$514.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.72 / $509.80 / $652.77	Professional		$147.72	$509.80	$652.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $262.35 / $262.35 / $262.35	Professional		$262.35	$262.35	$262.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $273.11 / $624.98 / $624.98	Professional		$273.11	$624.98	$624.98
United Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $191.92 / $437.97	Professional		$107.19	$191.92	$437.97