Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.36 / $757.57 / $757.57	Facility		$216.36	$757.57	$757.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.43 / $206.92 / $466.73	Professional		$164.43	$206.92	$466.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.52 / $250.03 / $658.28	Professional		$161.52	$250.03	$658.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.36 / $624.45 / $957.92	Facility		$534.36	$624.45	$957.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.17 / $457.40 / $683.53	Professional		$198.17	$457.40	$683.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $216.73 / $406.18	Facility		$183.77	$216.73	$406.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $216.73 / $419.93	Facility		$183.77	$216.73	$419.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.35 / $298.02 / $1,352.50	Professional		$182.35	$298.02	$1,352.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $192.46 / $407.43	Professional		$118.34	$192.46	$407.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $183.77 / $216.36 / $406.18	Facility		$183.77	$216.36	$406.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.45 / $468.95 / $668.80	Professional		$311.45	$468.95	$668.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $409.96 / $920.42	Facility		$228.74	$409.96	$920.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $220.53 / $903.10 / $1,352.50	Professional		$220.53	$903.10	$1,352.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.08 / $354.36 / $708.22	Professional		$246.08	$354.36	$708.22
United Facility/Professional Professional Modifier Low / Median / High Price $180.62 / $285.54 / $603.83	Professional		$180.62	$285.54	$603.83