Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.46 / $137.46 / $485.77	Facility		$137.46	$137.46	$485.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $137.46 / $227.14	Professional		$102.42	$137.46	$227.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $181.64 / $536.08	Professional		$94.13	$181.64	$536.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.51 / $388.57 / $596.07	Facility		$332.51	$388.57	$596.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.53 / $312.31 / $447.18	Professional		$140.53	$312.31	$447.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $119.54 / $144.88 / $262.95	Facility		$119.54	$144.88	$262.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $145.37 / $263.77	Facility		$117.78	$145.37	$263.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $307.73 / $839.64	Professional		$122.90	$307.73	$839.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.38 / $107.91 / $241.88	Professional		$47.38	$107.91	$241.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $119.54 / $145.34 / $263.77	Facility		$119.54	$145.34	$263.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $299.52 / $420.82	Professional		$162.44	$299.52	$420.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,012.20 / $1,012.20 / $1,012.20	Facility		$1,012.20	$1,012.20	$1,012.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.97 / $660.60 / $839.64	Professional		$172.97	$660.60	$839.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $163.88 / $163.88	Professional		$163.88	$163.88	$163.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $284.93 / $530.20 / $630.79	Professional		$284.93	$530.20	$630.79
United Facility/Professional Professional Modifier Low / Median / High Price $121.14 / $264.94 / $495.45	Professional		$121.14	$264.94	$495.45