Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.70 / $115.70 / $392.46	Facility		$115.70	$115.70	$392.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $115.70 / $198.53	Professional		$97.04	$115.70	$198.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $152.88 / $444.39	Professional		$106.50	$152.88	$444.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.35 / $326.44 / $500.77	Facility		$279.35	$326.44	$500.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $269.50 / $381.54	Professional		$129.18	$269.50	$381.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $118.24 / $214.18	Facility		$101.91	$118.24	$214.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.18 / $123.86 / $214.18	Facility		$100.18	$123.86	$214.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.71 / $275.31 / $686.29	Professional		$127.71	$275.31	$686.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $95.64 / $207.99	Professional		$59.78	$95.64	$207.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $123.86 / $214.18	Facility		$101.91	$123.86	$214.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $250.05 / $348.70	Professional		$159.63	$250.05	$348.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $479.89 / $479.89 / $479.89	Facility		$479.89	$479.89	$479.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.41 / $554.15 / $686.29	Professional		$163.41	$554.15	$686.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.46 / $426.24 / $544.36	Professional		$246.46	$426.24	$544.36
United Facility/Professional Professional Modifier Low / Median / High Price $124.66 / $226.67 / $415.73	Professional		$124.66	$226.67	$415.73