Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $98.38 / $337.64	Facility		$92.25	$98.38	$337.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.13 / $94.90 / $272.91	Professional		$81.13	$94.90	$272.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $151.41 / $329.46	Professional		$87.84	$151.41	$329.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.80 / $279.05 / $370.88	Facility		$238.80	$279.05	$370.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $215.73 / $276.19	Professional		$110.31	$215.73	$276.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $98.38 / $178.31	Facility		$78.41	$98.38	$178.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $101.04 / $245.95	Facility		$78.41	$101.04	$245.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $164.79 / $541.15	Professional		$97.44	$164.79	$541.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $191.29 / $239.12	Professional		$58.40	$191.29	$239.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $98.38 / $178.31	Facility		$78.41	$98.38	$178.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.06 / $214.55 / $290.70	Professional		$115.06	$214.55	$290.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $286.64 / $387.55	Facility		$162.26	$286.64	$387.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.71 / $438.05 / $580.23	Professional		$124.71	$438.05	$580.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $107.05 / $114.53	Professional		$107.05	$107.05	$114.53
Security Health Facility/Professional Facility Modifier Low / Median / High Price $76.98 / $76.98 / $76.98	Facility		$76.98	$76.98	$76.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $435.71 / $464.81	Professional		$107.05	$435.71	$464.81
United Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $147.18 / $324.63	Professional		$92.07	$147.18	$324.63