Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $133.47 / $227.23	Professional		$100.40	$133.47	$227.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $285.26 / $655.34	Professional		$38.74	$285.26	$655.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $438.06 / $497.80 / $706.58	Facility		$438.06	$497.80	$706.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $181.12 / $432.27	Professional		$62.89	$181.12	$432.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $161.47 / $377.31	Facility		$118.32	$161.47	$377.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $161.47 / $391.98	Facility		$118.32	$161.47	$391.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.92 / $148.40 / $882.93	Professional		$71.92	$148.40	$882.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $65.00 / $287.60	Professional		$40.29	$65.00	$287.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $118.32 / $161.47 / $377.31	Facility		$118.32	$161.47	$377.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $318.68 / $601.53	Professional		$242.40	$318.68	$601.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $262.68 / $262.68 / $611.58	Facility		$262.68	$262.68	$611.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $650.95 / $882.93	Professional		$70.98	$650.95	$882.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $65.83 / $286.57	Professional		$65.83	$65.83	$286.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $255.07 / $705.43	Professional		$65.83	$255.07	$705.43
United Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $130.19 / $374.95	Professional		$71.55	$130.19	$374.95