Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $134.22 / $298.45	Professional		$96.43	$134.22	$298.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $423.33 / $849.20	Professional		$77.59	$423.33	$849.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $402.26 / $457.11 / $648.83	Facility		$402.26	$457.11	$648.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $198.64 / $408.51	Professional		$70.18	$198.64	$408.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $164.85 / $413.31	Facility		$121.85	$164.85	$413.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $164.85 / $939.44	Facility		$121.85	$164.85	$939.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $212.16 / $2,194.78	Professional		$104.16	$212.16	$2,194.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $70.00 / $304.99	Professional		$38.33	$70.00	$304.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $121.85 / $164.85 / $413.31	Facility		$121.85	$164.85	$413.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $255.60 / $336.03 / $469.01	Professional		$255.60	$336.03	$469.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $245.52 / $245.52 / $848.31	Facility		$245.52	$245.52	$848.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $1,222.03 / $2,194.78	Professional		$74.00	$1,222.03	$2,194.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $293.66 / $293.66 / $627.49	Professional		$293.66	$293.66	$627.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.92 / $627.49 / $659.30	Professional		$407.92	$627.49	$659.30
United Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $155.63 / $469.46	Professional		$104.16	$155.63	$469.46