Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.79 / $171.79 / $171.79	Facility		$171.79	$171.79	$171.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $168.63 / $184.35	Professional		$92.25	$168.63	$184.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.77 / $289.55 / $772.32	Professional		$144.77	$289.55	$772.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.39 / $379.09 / $581.54	Facility		$324.39	$379.09	$581.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.95 / $291.31 / $402.14	Professional		$199.95	$291.31	$402.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.55 / $171.79 / $266.39	Facility		$109.55	$171.79	$266.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $166.41 / $270.16	Facility		$98.72	$166.41	$270.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $389.77 / $999.25	Professional		$119.61	$389.77	$999.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $326.41	Professional		$58.40	$70.00	$326.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.55 / $171.79 / $266.39	Facility		$109.55	$171.79	$266.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.46 / $379.48 / $532.25	Professional		$211.46	$379.48	$532.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $744.78 / $744.78 / $744.78	Facility		$744.78	$744.78	$744.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $204.41 / $781.00 / $999.25	Professional		$204.41	$781.00	$999.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $97.23 / $99.25	Professional		$97.23	$97.23	$99.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.23 / $598.14 / $598.14	Professional		$97.23	$598.14	$598.14
United Facility/Professional Professional Modifier Low / Median / High Price $124.19 / $377.47 / $893.62	Professional		$124.19	$377.47	$893.62