Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $80.64 / $80.64	Facility		$80.64	$80.64	$80.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $82.89 / $133.46	Professional		$71.98	$82.89	$133.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.35 / $161.86 / $282.85	Professional		$86.35	$161.86	$282.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.99 / $276.95 / $314.70	Facility		$236.99	$276.95	$314.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.25 / $176.01 / $216.98	Professional		$95.25	$176.01	$216.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.29 / $94.35 / $166.55	Facility		$69.29	$94.35	$166.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $89.49 / $175.27	Facility		$69.08	$89.49	$175.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $108.60 / $374.36	Professional		$76.09	$108.60	$374.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $70.31 / $182.56	Professional		$30.40	$70.31	$182.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.29 / $89.67 / $166.55	Facility		$69.29	$89.67	$166.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $199.06 / $282.35	Professional		$108.26	$199.06	$282.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $176.90 / $475.62 / $617.88	Facility		$176.90	$475.62	$617.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.61 / $424.75 / $545.41	Professional		$154.61	$424.75	$545.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.42 / $104.42 / $104.42	Professional		$104.42	$104.42	$104.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $308.95 / $308.95	Professional		$110.89	$308.95	$308.95
United Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $107.76 / $212.38	Professional		$76.09	$107.76	$212.38