Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.93 / $129.86 / $392.42	Facility		$112.93	$129.86	$392.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $112.93 / $294.94	Professional		$99.16	$112.93	$294.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.83 / $149.22 / $352.56	Professional		$100.83	$149.22	$352.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $318.45 / $435.26	Facility		$70.00	$318.45	$435.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $266.10 / $302.39	Professional		$128.19	$266.10	$302.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.38 / $117.43 / $210.40	Facility		$82.38	$117.43	$210.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $122.33 / $472.31	Facility		$83.18	$122.33	$472.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $168.21 / $657.65	Professional		$94.49	$168.21	$657.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $125.50 / $275.78	Professional		$78.29	$125.50	$275.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.38 / $114.50 / $210.40	Facility		$82.38	$114.50	$210.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.44 / $246.11 / $337.52	Professional		$115.44	$246.11	$337.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $212.36 / $472.31	Facility		$65.00	$212.36	$472.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $534.45 / $657.65	Professional		$144.19	$534.45	$657.65
Security Health Facility/Professional Facility Modifier Low / Median / High Price $274.60 / $274.60 / $274.60	Facility		$274.60	$274.60	$274.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $247.59 / $537.42 / $537.42	Professional		$247.59	$537.42	$537.42
United Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $168.21 / $352.20	Professional		$97.86	$168.21	$352.20