Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $111.91 / $389.05	Facility		$111.91	$111.91	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $111.91 / $162.69	Professional		$96.31	$111.91	$162.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.55 / $147.88 / $447.63	Professional		$103.55	$147.88	$447.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.94 / $320.12 / $491.07	Facility		$273.94	$320.12	$491.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.77 / $263.81 / $339.17	Professional		$129.77	$263.81	$339.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.63 / $116.42 / $213.04	Facility		$98.63	$116.42	$213.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.02 / $117.26 / $213.04	Facility		$97.02	$117.26	$213.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $251.95 / $662.29	Professional		$132.13	$251.95	$662.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $95.26 / $206.29	Professional		$59.78	$95.26	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.63 / $116.42 / $213.04	Facility		$98.63	$116.42	$213.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $240.44 / $346.50	Professional		$135.99	$240.44	$346.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $476.85 / $476.85 / $476.85	Facility		$476.85	$476.85	$476.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.61 / $524.90 / $662.29	Professional		$149.61	$524.90	$662.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $224.36 / $532.84 / $532.84	Professional		$224.36	$532.84	$532.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.98 / $214.71 / $405.32	Professional		$125.98	$214.71	$405.32