Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.47 / $165.05 / $469.21	Facility		$74.47	$165.05	$469.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $112.55 / $220.95	Professional		$44.53	$112.55	$220.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $198.54 / $448.22	Professional		$66.92	$198.54	$448.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.80 / $402.43 / $550.03	Facility		$304.80	$402.43	$550.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $148.84 / $425.12	Professional		$58.15	$148.84	$425.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $100.30 / $220.95	Facility		$43.65	$100.30	$220.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.80 / $102.00 / $220.95	Facility		$43.80	$102.00	$220.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.67 / $290.81 / $855.04	Professional		$127.67	$290.81	$855.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $150.57 / $276.87	Professional		$75.52	$150.57	$276.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $100.30 / $220.95	Facility		$43.30	$100.30	$220.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $186.63 / $400.19	Professional		$98.81	$186.63	$400.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $71.19 / $218.52 / $414.99	Facility		$71.19	$218.52	$414.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $483.17 / $855.04	Professional		$80.93	$483.17	$855.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $161.60 / $455.98	Professional		$73.31	$161.60	$455.98
United Facility/Professional Facility Modifier Low / Median / High Price $538.72 / $538.72 / $694.66	Facility		$538.72	$538.72	$694.66
United Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $200.33 / $433.13	Professional		$123.75	$200.33	$433.13