Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.50 / $196.46 / $371.04	Facility		$149.50	$196.46	$371.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $157.51 / $306.04	Professional		$85.99	$157.51	$306.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $149.50 / $184.68	Professional		$134.55	$149.50	$184.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $317.19 / $453.41	Facility		$172.37	$317.19	$453.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $238.98 / $271.56	Professional		$137.12	$238.98	$271.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.48 / $123.68 / $156.97	Facility		$60.48	$123.68	$156.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.48 / $123.68 / $149.50	Facility		$60.48	$123.68	$149.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.90 / $173.91 / $246.24	Professional		$153.90	$173.91	$246.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $235.95	Professional		$65.00	$85.00	$235.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $60.48 / $123.68 / $156.97	Facility		$60.48	$123.68	$156.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $110.88 / $273.77	Professional		$67.23	$110.88	$273.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $628.16 / $628.16 / $628.16	Facility		$628.16	$628.16	$628.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $173.65 / $173.65	Professional		$131.16	$173.65	$173.65
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $153.90 / $246.24	Professional		$149.63	$153.90	$246.24