Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.35 / $167.65 / $389.35	Facility		$121.35	$167.65	$389.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $82.66 / $227.06	Professional		$34.20	$82.66	$227.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $158.91 / $502.52	Professional		$72.62	$158.91	$502.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.77 / $257.99 / $416.13	Facility		$220.77	$257.99	$416.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $261.08 / $324.64	Professional		$115.49	$261.08	$324.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.72 / $95.58 / $156.46	Facility		$70.72	$95.58	$156.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.72 / $95.37 / $160.19	Facility		$70.72	$95.37	$160.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $151.24 / $418.19	Professional		$44.54	$151.24	$418.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $63.07 / $188.51	Professional		$25.04	$63.07	$188.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.72 / $95.58 / $156.46	Facility		$70.72	$95.58	$156.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.35 / $226.05 / $306.80	Professional		$155.35	$226.05	$306.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $361.81 / $361.81 / $361.81	Facility		$361.81	$361.81	$361.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $370.95 / $898.00	Professional		$120.33	$370.95	$898.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.47 / $208.47 / $208.47	Professional		$208.47	$208.47	$208.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.72 / $509.11 / $509.11	Professional		$185.72	$509.11	$509.11
United Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $152.09 / $325.14	Professional		$62.12	$152.09	$325.14