Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.16 / $134.88 / $489.14	Facility		$101.16	$134.88	$489.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $124.77 / $167.18	Professional		$98.59	$124.77	$167.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.29 / $150.93 / $448.43	Professional		$119.29	$150.93	$448.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.91 / $384.36 / $589.61	Facility		$328.91	$384.36	$589.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $288.02 / $462.91	Professional		$116.06	$288.02	$462.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $116.98 / $137.97 / $210.52	Facility		$116.98	$137.97	$210.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.69 / $142.02 / $207.37	Facility		$114.69	$142.02	$207.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $405.56 / $794.81	Professional		$136.72	$405.56	$794.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.08 / $119.98 / $271.98	Professional		$79.08	$119.98	$271.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $138.94 / $210.52	Facility		$117.31	$138.94	$210.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $225.92 / $391.18	Professional		$141.36	$225.92	$391.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $295.23 / $295.23 / $295.23	Facility		$295.23	$295.23	$295.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.85 / $675.00 / $794.81	Professional		$142.85	$675.00	$794.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $158.16 / $634.23 / $639.37	Professional		$158.16	$634.23	$639.37
United Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $213.86 / $491.51	Professional		$121.98	$213.86	$491.51