Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.71 / $88.71 / $118.68	Facility		$88.71	$88.71	$118.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $111.40 / $199.33	Professional		$87.46	$111.40	$199.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.58 / $190.28 / $377.82	Professional		$114.58	$190.28	$377.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.24 / $526.24 / $638.64	Facility		$526.24	$526.24	$638.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $181.32 / $289.04	Professional		$81.02	$181.32	$289.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.98 / $118.68 / $197.66	Facility		$87.98	$118.68	$197.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.40 / $116.87 / $197.66	Facility		$75.40	$116.87	$197.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $167.32 / $595.01	Professional		$117.58	$167.32	$595.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $124.66 / $278.05	Professional		$78.44	$124.66	$278.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $88.71 / $118.68 / $221.78	Facility		$88.71	$118.68	$221.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $240.50 / $360.31	Professional		$136.90	$240.50	$360.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $487.35 / $801.18	Professional		$113.52	$487.35	$801.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $174.93 / $331.49 / $446.47	Professional		$174.93	$331.49	$446.47
United Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $155.19 / $324.02	Professional		$115.65	$155.19	$324.02