Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.60 / $103.13 / $389.05	Facility		$91.60	$103.13	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $91.60 / $121.89	Professional		$71.41	$91.60	$121.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.51 / $93.67 / $296.45	Professional		$69.51	$93.67	$296.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.23 / $306.43 / $470.07	Facility		$262.23	$306.43	$470.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $158.81 / $328.68	Professional		$109.47	$158.81	$328.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $100.76 / $151.46	Facility		$83.31	$100.76	$151.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.98 / $100.76 / $151.46	Facility		$80.98	$100.76	$151.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $377.09 / $609.03	Professional		$106.78	$377.09	$609.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $88.06 / $207.99	Professional		$59.78	$88.06	$207.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $101.46 / $151.46	Facility		$83.31	$101.46	$151.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.43 / $184.20 / $292.08	Professional		$110.43	$184.20	$292.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $211.30 / $211.30 / $211.30	Facility		$211.30	$211.30	$211.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.34 / $485.20 / $609.03	Professional		$380.34	$485.20	$609.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.27 / $240.37 / $271.17	Professional		$123.27	$240.37	$271.17
United Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $195.05 / $363.90	Professional		$99.41	$195.05	$363.90