Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.45 / $239.86 / $256.64	Facility		$228.45	$239.86	$256.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $239.86 / $259.25	Professional		$203.29	$239.86	$259.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.60 / $228.45 / $282.19	Professional		$205.60	$228.45	$282.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.13 / $466.41 / $666.70	Facility		$257.13	$466.41	$666.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.56 / $154.05 / $244.69	Professional		$135.56	$154.05	$244.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.29 / $123.73 / $268.76	Facility		$67.29	$123.73	$268.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.29 / $146.49 / $380.17	Facility		$67.29	$146.49	$380.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $265.73 / $376.26	Professional		$235.16	$265.73	$376.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $286.95	Professional		$55.00	$85.00	$286.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.29 / $123.73 / $268.76	Facility		$67.29	$123.73	$268.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $172.66 / $239.80	Professional		$111.42	$172.66	$239.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $924.60 / $924.60 / $924.60	Facility		$924.60	$924.60	$924.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $121.97 / $121.97 / $121.97	Professional		$121.97	$121.97	$121.97
United Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $265.73 / $376.26	Professional		$235.16	$265.73	$376.26