Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $84.49 / $263.41	Facility		$84.49	$84.49	$263.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $109.84 / $244.00	Professional		$84.49	$109.84	$244.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $84.49 / $167.55	Professional		$82.83	$84.49	$167.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $182.27 / $260.55	Facility		$92.77	$182.27	$260.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $186.49 / $211.93	Professional		$78.80	$186.49	$211.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $99.40 / $213.86	Facility		$84.49	$99.40	$213.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $111.44 / $409.00	Facility		$84.49	$111.44	$409.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $93.60 / $132.53	Professional		$82.83	$93.60	$132.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $274.14	Professional		$55.00	$65.00	$274.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.49 / $99.40 / $213.86	Facility		$84.49	$99.40	$213.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $237.60 / $330.00	Professional		$153.33	$237.60	$330.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $372.75 / $372.75 / $372.75	Facility		$372.75	$372.75	$372.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $86.16 / $86.16 / $373.61	Professional		$86.16	$86.16	$373.61
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $93.60 / $132.53	Professional		$82.83	$93.60	$132.53