Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.47 / $105.47 / $364.87	Facility		$105.47	$105.47	$364.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $105.47 / $285.18	Professional		$92.39	$105.47	$285.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $139.37 / $333.46	Professional		$94.17	$139.37	$333.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $292.86 / $400.28	Facility		$70.00	$292.86	$400.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $244.06 / $360.84	Professional		$111.35	$244.06	$360.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.73 / $109.19 / $204.73	Facility		$83.73	$109.19	$204.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.73 / $115.00 / $222.26	Facility		$83.73	$115.00	$222.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.99 / $164.01 / $616.10	Professional		$90.99	$164.01	$616.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $95.09 / $206.29	Professional		$59.78	$95.09	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.73 / $109.19 / $204.73	Facility		$83.73	$109.19	$204.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.52 / $228.75 / $329.32	Professional		$110.52	$228.75	$329.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $130.12 / $438.98	Facility		$65.00	$130.12	$438.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $122.49 / $507.65 / $616.10	Professional		$122.49	$507.65	$616.10
Security Health Facility/Professional Facility Modifier Low / Median / High Price $338.14 / $338.14 / $338.14	Facility		$338.14	$338.14	$338.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $267.75 / $498.39 / $498.39	Professional		$267.75	$498.39	$498.39
United Facility/Professional Professional Modifier Low / Median / High Price $90.99 / $160.34 / $339.42	Professional		$90.99	$160.34	$339.42