Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Facility		$163.24	$163.24	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $236.70	Professional		$163.24	$163.24	$236.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $222.05	Professional		$176.00	$176.00	$222.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $382.42 / $546.64	Facility		$179.39	$382.42	$546.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $202.16 / $229.73	Professional		$165.32	$202.16	$229.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $120.73 / $184.27 / $231.66	Facility		$120.73	$184.27	$231.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.73 / $184.27 / $231.66	Facility		$120.73	$184.27	$231.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $186.43 / $263.97	Professional		$164.98	$186.43	$263.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $350.95	Professional		$55.00	$65.00	$350.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $120.73 / $184.27 / $231.66	Facility		$120.73	$184.27	$231.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.50 / $257.39 / $351.59	Professional		$175.50	$257.39	$351.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $492.01 / $492.01 / $492.01	Facility		$492.01	$492.01	$492.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $190.11 / $199.72 / $199.72	Professional		$190.11	$199.72	$199.72
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $186.43 / $284.62	Professional		$164.98	$186.43	$284.62