Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.42 / $588.66 / $588.66	Facility		$281.42	$588.66	$588.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $203.08 / $281.42	Professional		$162.63	$203.08	$281.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $323.57 / $730.20	Professional		$245.66	$323.57	$730.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.20 / $521.22 / $712.38	Facility		$387.20	$521.22	$712.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.82 / $403.50 / $619.64	Professional		$168.82	$403.50	$619.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $129.03 / $203.38 / $336.82	Facility		$129.03	$203.38	$336.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.86 / $209.88 / $336.82	Facility		$145.86	$209.88	$336.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.12 / $344.90 / $1,130.22	Professional		$176.12	$344.90	$1,130.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.08 / $232.16 / $347.44	Professional		$92.08	$232.16	$347.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $129.03 / $204.54 / $336.82	Facility		$129.03	$204.54	$336.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $395.25 / $639.57	Professional		$288.00	$395.25	$639.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $188.27 / $742.54 / $742.54	Facility		$188.27	$742.54	$742.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $207.52 / $862.45 / $1,130.22	Professional		$207.52	$862.45	$1,130.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $210.59 / $210.59 / $210.59	Professional		$210.59	$210.59	$210.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $234.94 / $584.92 / $584.92	Professional		$234.94	$584.92	$584.92
United Facility/Professional Professional Modifier Low / Median / High Price $172.49 / $294.52 / $604.44	Professional		$172.49	$294.52	$604.44