Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $384.40 / $422.94	Facility		$83.39	$384.40	$422.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $93.59 / $350.10	Professional		$69.38	$93.59	$350.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $160.29 / $365.46	Professional		$89.34	$160.29	$365.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $339.97 / $464.66	Facility		$70.00	$339.97	$464.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $286.36 / $325.41	Professional		$138.16	$286.36	$325.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $105.47 / $208.48	Facility		$70.50	$105.47	$208.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.88 / $112.71 / $255.18	Facility		$70.88	$112.71	$255.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $149.62 / $424.30	Professional		$94.83	$149.62	$424.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $95.09 / $206.29	Professional		$59.78	$95.09	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $105.47 / $208.48	Facility		$70.50	$105.47	$208.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $258.31 / $363.48	Professional		$142.13	$258.31	$363.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $142.91 / $508.62	Facility		$65.00	$142.91	$508.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.07 / $484.61 / $702.98	Professional		$141.07	$484.61	$702.98
Security Health Facility/Professional Facility Modifier Low / Median / High Price $182.84 / $182.84 / $182.84	Facility		$182.84	$182.84	$182.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $179.18 / $355.84 / $355.84	Professional		$179.18	$355.84	$355.84
United Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $119.55 / $119.55	Facility		$119.55	$119.55	$119.55
United Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $142.43 / $303.14	Professional		$94.83	$142.43	$303.14