Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $164.60 / $184.95	Facility		$164.60	$164.60	$184.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $165.30 / $354.40	Professional		$154.01	$165.30	$354.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.75 / $159.75 / $187.04	Professional		$159.75	$159.75	$187.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.41 / $359.19 / $513.42	Facility		$175.41	$359.19	$513.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.27 / $279.81 / $317.95	Professional		$155.27	$279.81	$317.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $187.04 / $187.04	Facility		$164.60	$187.04	$187.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $187.04 / $187.04	Facility		$164.60	$187.04	$187.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $177.07 / $250.72	Professional		$156.69	$177.07	$250.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $55.00 / $481.96	Professional		$15.00	$55.00	$481.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.60 / $187.04 / $187.04	Facility		$164.60	$187.04	$187.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $675.45 / $675.45 / $675.45	Facility		$675.45	$675.45	$675.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.41 / $175.41 / $175.41	Professional		$175.41	$175.41	$175.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $30.22 / $55.25	Professional		$30.22	$30.22	$55.25
United Facility/Professional Professional Modifier Low / Median / High Price $156.69 / $177.07 / $250.72	Professional		$156.69	$177.07	$250.72