Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $145.26 / $248.86	Professional		$102.24	$145.26	$248.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $526.97 / $983.38	Professional		$78.70	$526.97	$983.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.34 / $549.25 / $779.61	Facility		$483.34	$549.25	$779.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $193.05 / $436.54	Professional		$69.61	$193.05	$436.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $157.25 / $436.56	Facility		$75.00	$157.25	$436.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.63 / $176.18 / $440.46	Facility		$83.63	$176.18	$440.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.92 / $290.12 / $1,019.28	Professional		$123.92	$290.12	$1,019.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $458.58	Professional		$50.00	$70.00	$458.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $157.25 / $436.56	Facility		$75.00	$157.25	$436.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $273.16 / $358.75 / $533.73	Professional		$273.16	$358.75	$533.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $252.90 / $252.90 / $602.50	Facility		$252.90	$252.90	$602.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $728.45 / $1,019.28	Professional		$74.54	$728.45	$1,019.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $306.94 / $445.83 / $800.65	Professional		$306.94	$445.83	$800.65
United Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $345.33 / $648.94	Professional		$100.84	$345.33	$648.94