Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $93.57 / $109.34	Facility		$81.37	$93.57	$109.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.14 / $82.75 / $157.09	Professional		$71.14	$82.75	$157.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.13 / $183.42 / $367.21	Professional		$88.13	$183.42	$367.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.37 / $271.68 / $308.73	Facility		$115.37	$271.68	$308.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $162.01 / $251.89	Professional		$77.23	$162.01	$251.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.86 / $88.37 / $149.72	Facility		$69.86	$88.37	$149.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $83.83 / $153.79	Facility		$68.84	$83.83	$153.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $131.43 / $468.12	Professional		$81.00	$131.43	$468.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $94.95 / $139.59	Professional		$41.98	$94.95	$139.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.16 / $85.46 / $149.72	Facility		$69.16	$85.46	$149.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $199.00 / $279.10	Professional		$95.46	$199.00	$279.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $116.61 / $336.07	Facility		$111.21	$116.61	$336.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $378.85 / $557.10	Professional		$109.20	$378.85	$557.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $191.01 / $382.69 / $447.72	Professional		$191.01	$382.69	$447.72
United Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $133.22 / $297.94	Professional		$79.09	$133.22	$297.94