Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $378.58 / $378.58	Facility		$109.28	$378.58	$378.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $109.28 / $193.76	Professional		$93.19	$109.28	$193.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.17 / $132.94 / $346.08	Professional		$101.17	$132.94	$346.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.83 / $353.00 / $501.06	Facility		$265.83	$353.00	$501.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.66 / $234.59 / $338.91	Professional		$107.66	$234.59	$338.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $122.86 / $295.80	Facility		$94.41	$122.86	$295.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $122.86 / $319.50	Facility		$95.45	$122.86	$319.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $187.58 / $1,356.40	Professional		$107.19	$187.58	$1,356.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $96.23 / $203.71	Professional		$59.78	$96.23	$203.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.24 / $120.84 / $319.50	Facility		$94.24	$120.84	$319.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $239.80 / $334.40	Professional		$164.16	$239.80	$334.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $500.00 / $2,256.91	Facility		$116.35	$500.00	$2,256.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.83 / $514.45 / $1,356.40	Professional		$124.83	$514.45	$1,356.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $159.25 / $355.46 / $442.94	Professional		$159.25	$355.46	$442.94
United Facility/Professional Professional Modifier Low / Median / High Price $105.87 / $163.54 / $343.97	Professional		$105.87	$163.54	$343.97