Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.24 / $168.40 / $596.80	Facility		$166.24	$168.40	$596.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $166.92 / $251.81	Professional		$146.06	$166.92	$251.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $222.70 / $685.97	Professional		$142.50	$222.70	$685.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.63 / $493.87 / $757.61	Facility		$422.63	$493.87	$757.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.59 / $399.64 / $563.38	Professional		$186.59	$399.64	$563.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $148.22 / $175.62 / $299.23	Facility		$148.22	$175.62	$299.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.33 / $175.62 / $299.23	Facility		$146.33	$175.62	$299.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $477.26 / $978.66	Professional		$198.88	$477.26	$978.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $148.83 / $344.18	Professional		$85.00	$148.83	$344.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $148.22 / $175.62 / $314.64	Facility		$148.22	$175.62	$314.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $207.59 / $374.68 / $531.29	Professional		$207.59	$374.68	$531.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $719.08 / $719.08 / $719.08	Facility		$719.08	$719.08	$719.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.03 / $783.00 / $978.66	Professional		$245.03	$783.00	$978.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $330.83 / $607.52 / $820.86	Professional		$330.83	$607.52	$820.86
United Facility/Professional Professional Modifier Low / Median / High Price $179.69 / $330.35 / $587.25	Professional		$179.69	$330.35	$587.25