Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.25 / $200.00 / $226.82	Facility		$159.25	$200.00	$226.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $159.25 / $596.60	Professional		$108.87	$159.25	$596.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.04 / $208.56 / $648.80	Professional		$102.04	$208.56	$648.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.85 / $331.70 / $508.84	Facility		$283.85	$331.70	$508.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.79 / $477.42 / $542.53	Professional		$133.79	$477.42	$542.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.23 / $122.45 / $205.79	Facility		$100.23	$122.45	$205.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.23 / $122.45 / $205.79	Facility		$100.23	$122.45	$205.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.94 / $244.91 / $664.64	Professional		$113.94	$244.91	$664.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $99.04 / $200.86	Professional		$59.78	$99.04	$200.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $100.23 / $122.45 / $207.06	Facility		$100.23	$122.45	$207.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $310.98 / $454.08	Professional		$213.20	$310.98	$454.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $496.55 / $496.55 / $496.55	Facility		$496.55	$496.55	$496.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $178.57 / $519.10 / $664.64	Professional		$178.57	$519.10	$664.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $342.56 / $655.60 / $655.60	Professional		$342.56	$655.60	$655.60
United Facility/Professional Professional Modifier Low / Median / High Price $113.47 / $233.02 / $455.75	Professional		$113.47	$233.02	$455.75