Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $211.88 / $282.50	Facility		$180.20	$211.88	$282.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $261.29	Professional		$180.20	$180.20	$261.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.28 / $173.28 / $216.46	Professional		$173.28	$173.28	$216.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $374.38 / $535.15	Facility		$203.81	$374.38	$535.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.84 / $323.18 / $367.25	Professional		$161.84	$323.18	$367.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $141.25 / $253.30	Facility		$114.33	$141.25	$253.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $141.25 / $253.30	Facility		$114.33	$141.25	$253.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $199.64 / $282.67	Professional		$176.67	$199.64	$282.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $406.71	Professional		$65.00	$85.00	$406.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $141.25 / $253.30	Facility		$114.33	$141.25	$253.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.21 / $254.23 / $353.10	Professional		$154.21	$254.23	$353.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $735.08 / $735.08 / $735.08	Facility		$735.08	$735.08	$735.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Professional		$203.81	$203.81	$203.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $198.32 / $198.32 / $198.32	Professional		$198.32	$198.32	$198.32
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $205.63 / $269.98	Professional		$181.97	$205.63	$269.98