Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $176.64 / $600.74	Facility		$133.38	$176.64	$600.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.91 / $147.27 / $214.23	Professional		$112.91	$147.27	$214.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.99 / $159.31 / $453.50	Professional		$116.99	$159.31	$453.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.44 / $506.51 / $777.00	Facility		$433.44	$506.51	$777.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $247.85 / $533.37	Professional		$146.59	$247.85	$533.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $113.96 / $155.87 / $229.13	Facility		$113.96	$155.87	$229.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $156.02 / $229.30	Facility		$113.53	$156.02	$229.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.11 / $645.27 / $1,041.92	Professional		$213.11	$645.27	$1,041.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $147.01 / $347.58	Professional		$85.00	$147.01	$347.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.96 / $156.02 / $229.13	Facility		$113.96	$156.02	$229.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.60 / $260.64 / $432.52	Professional		$155.60	$260.64	$432.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $293.27 / $293.27 / $293.27	Facility		$293.27	$293.27	$293.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $527.90 / $777.19 / $1,041.92	Professional		$527.90	$777.19	$1,041.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $180.02 / $333.64 / $443.25	Professional		$180.02	$333.64	$443.25
United Facility/Professional Professional Modifier Low / Median / High Price $182.32 / $345.96 / $626.74	Professional		$182.32	$345.96	$626.74