Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.93 / $163.93 / $558.63	Facility		$163.93	$163.93	$558.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $163.93 / $407.29	Professional		$135.50	$163.93	$407.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.07 / $248.82 / $508.23	Professional		$133.07	$248.82	$508.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.72 / $492.82 / $756.00	Facility		$421.72	$492.82	$756.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $313.39 / $439.94	Professional		$121.22	$313.39	$439.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $139.31 / $191.80 / $417.93	Facility		$139.31	$191.80	$417.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.44 / $192.18 / $438.54	Facility		$139.44	$192.18	$438.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $212.08 / $586.96	Professional		$115.19	$212.08	$586.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $119.94 / $263.12	Professional		$76.01	$119.94	$263.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $139.31 / $191.80 / $417.93	Facility		$139.31	$191.80	$417.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $357.98 / $497.20	Professional		$271.20	$357.98	$497.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $291.18 / $363.98 / $684.26	Facility		$291.18	$363.98	$684.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $655.16 / $975.32	Professional		$135.78	$655.16	$975.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $182.56 / $182.56 / $182.56	Professional		$182.56	$182.56	$182.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $232.06 / $536.22 / $536.22	Professional		$232.06	$536.22	$536.22
United Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $212.08 / $519.75	Professional		$119.97	$212.08	$519.75