Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.75 / $307.04 / $423.02	Facility		$253.75	$307.04	$423.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $210.00 / $307.82	Professional		$147.50	$210.00	$307.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.82 / $219.82 / $258.61	Professional		$219.82	$219.82	$258.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $241.37 / $471.77 / $674.36	Facility		$241.37	$471.77	$674.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $203.94 / $247.50	Professional		$198.00	$203.94	$247.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $258.61 / $258.61	Facility		$219.82	$258.61	$258.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $299.61 / $504.91	Facility		$219.82	$299.61	$504.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $243.53 / $344.82	Professional		$215.51	$243.53	$344.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $548.86	Professional		$55.00	$85.00	$548.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $219.82 / $258.61 / $258.61	Facility		$219.82	$258.61	$258.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $890.51 / $890.51 / $890.51	Facility		$890.51	$890.51	$890.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.37 / $241.37 / $241.37	Professional		$241.37	$241.37	$241.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $219.02 / $219.02	Professional		$156.00	$219.02	$219.02
United Facility/Professional Professional Modifier Low / Median / High Price $215.51 / $243.53 / $344.82	Professional		$215.51	$243.53	$344.82