Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.92 / $90.92 / $310.77	Facility		$90.92	$90.92	$310.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $90.10 / $122.03	Professional		$77.48	$90.10	$122.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $120.15 / $288.95	Professional		$84.75	$120.15	$288.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.77 / $257.99 / $395.77	Facility		$220.77	$257.99	$395.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.37 / $199.84 / $241.63	Professional		$103.37	$199.84	$241.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.39 / $96.88 / $166.63	Facility		$78.39	$96.88	$166.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $99.20 / $174.38	Facility		$77.50	$99.20	$174.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $158.07 / $533.04	Professional		$88.78	$158.07	$533.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $97.84 / $206.29	Professional		$59.78	$97.84	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $77.50 / $96.88 / $169.33	Facility		$77.50	$96.88	$169.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $197.49 / $276.10	Professional		$138.05	$197.49	$276.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $379.97 / $379.97	Facility		$96.70	$379.97	$379.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.24 / $424.90 / $533.04	Professional		$136.24	$424.90	$533.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $103.46 / $103.46 / $103.46	Professional		$103.46	$103.46	$103.46
Security Health Facility/Professional Facility Modifier Low / Median / High Price $140.97 / $140.97 / $140.97	Facility		$140.97	$140.97	$140.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $294.50 / $294.50	Professional		$120.90	$294.50	$294.50
United Facility/Professional Professional Modifier Low / Median / High Price $88.78 / $143.69 / $304.14	Professional		$88.78	$143.69	$304.14