Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.17 / $87.28 / $299.70	Facility		$46.17	$87.28	$299.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $64.50 / $105.86	Professional		$39.18	$64.50	$105.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $82.13 / $220.42	Professional		$42.81	$82.13	$220.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.97 / $255.89 / $392.54	Facility		$218.97	$255.89	$392.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $144.24 / $300.75	Professional		$74.20	$144.24	$300.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $73.20 / $109.35	Facility		$40.76	$73.20	$109.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $70.43 / $109.35	Facility		$40.24	$70.43	$109.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.86 / $267.82 / $513.01	Professional		$100.86	$267.82	$513.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $62.75 / $138.27	Professional		$39.92	$62.75	$138.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.08 / $73.20 / $109.35	Facility		$41.08	$73.20	$109.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $103.61 / $192.05	Professional		$54.15	$103.61	$192.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.98 / $100.98 / $100.98	Facility		$100.98	$100.98	$100.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $267.82 / $513.01	Professional		$181.76	$267.82	$513.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $216.93 / $415.40	Professional		$73.50	$216.93	$415.40
United Facility/Professional Professional Modifier Low / Median / High Price $92.45 / $162.02 / $293.51	Professional		$92.45	$162.02	$293.51