Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.57 / $147.57 / $506.10	Facility		$147.57	$147.57	$506.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $147.57 / $190.21	Professional		$126.81	$147.57	$190.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $195.00 / $470.96	Professional		$137.50	$195.00	$470.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.55 / $420.16 / $644.53	Facility		$359.55	$420.16	$644.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.54 / $324.36 / $394.40	Professional		$160.54	$324.36	$394.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $126.21 / $157.76 / $271.35	Facility		$126.21	$157.76	$271.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.21 / $159.81 / $283.97	Facility		$126.21	$159.81	$283.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.72 / $248.43 / $871.74	Professional		$144.72	$248.43	$871.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $130.19 / $274.69	Professional		$79.65	$130.19	$274.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $126.21 / $157.76 / $275.80	Facility		$126.21	$157.76	$275.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $314.69 / $448.80	Professional		$224.40	$314.69	$448.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $157.91 / $617.62 / $617.62	Facility		$157.91	$617.62	$617.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.79 / $692.55 / $871.74	Professional		$218.79	$692.55	$871.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $168.81 / $168.81 / $168.81	Professional		$168.81	$168.81	$168.81
Security Health Facility/Professional Facility Modifier Low / Median / High Price $227.13 / $227.13 / $227.13	Facility		$227.13	$227.13	$227.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $196.89 / $468.11 / $480.69	Professional		$196.89	$468.11	$480.69
United Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $228.54 / $468.89	Professional		$142.08	$228.54	$468.89