Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.92 / $91.62 / $320.76	Facility		$77.92	$91.62	$320.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $82.59 / $110.33	Professional		$65.64	$82.59	$110.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $84.99 / $260.08	Professional		$62.40	$84.99	$260.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.08 / $265.36 / $407.07	Facility		$227.08	$265.36	$407.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $130.18 / $279.89	Professional		$54.00	$130.18	$279.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $87.99 / $124.67	Facility		$68.00	$87.99	$124.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $88.05 / $132.31	Facility		$67.88	$88.05	$132.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.62 / $331.50 / $538.17	Professional		$111.62	$331.50	$538.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $85.00 / $127.76	Professional		$58.40	$85.00	$127.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $87.99 / $124.67	Facility		$68.00	$87.99	$124.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $150.78 / $243.02	Professional		$88.77	$150.78	$243.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.05 / $171.05 / $171.05	Facility		$171.05	$171.05	$171.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $371.05 / $538.17	Professional		$63.00	$371.05	$538.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $104.46 / $122.23	Professional		$104.46	$104.46	$122.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.46 / $194.58 / $232.63	Professional		$104.46	$194.58	$232.63
United Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $186.88 / $331.50	Professional		$99.36	$186.88	$331.50