Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $325.73 / $325.73	Facility		$94.22	$325.73	$325.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $90.80 / $123.23	Professional		$79.39	$90.80	$123.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $114.45 / $298.64	Professional		$86.38	$114.45	$298.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.88 / $267.47 / $410.31	Facility		$228.88	$267.47	$410.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $201.96 / $292.13	Professional		$92.71	$201.96	$292.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $105.49 / $459.00	Facility		$81.28	$105.49	$459.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $108.95 / $527.85	Facility		$81.86	$108.95	$527.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $163.87 / $931.22	Professional		$92.39	$163.87	$931.22
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 $81.23 / $103.97 / $513.00	Facility		$81.23	$103.97	$513.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $206.67 / $288.20	Professional		$141.47	$206.67	$288.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $207.93 / $530.40	Facility		$100.28	$207.93	$530.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $816.30 / $931.22	Professional		$103.78	$816.30	$931.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $107.34 / $107.34 / $107.34	Professional		$107.34	$107.34	$107.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $173.56 / $306.30	Professional		$116.59	$173.56	$306.30
United Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $140.90 / $296.13	Professional		$90.73	$140.90	$296.13