Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.85 / $137.85 / $459.71	Facility		$137.85	$137.85	$459.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $137.85 / $171.02	Professional		$110.20	$137.85	$171.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $209.24 / $420.94	Professional		$119.41	$209.24	$420.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.44 / $410.68 / $630.00	Facility		$351.44	$410.68	$630.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.90 / $302.98 / $366.11	Professional		$121.90	$302.98	$366.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $110.20 / $149.03 / $343.92	Facility		$110.20	$149.03	$343.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.20 / $151.63 / $343.92	Facility		$110.20	$151.63	$343.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.54 / $179.69 / $471.18	Professional		$101.54	$179.69	$471.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $119.94 / $260.02	Professional		$76.01	$119.94	$260.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $110.20 / $149.03 / $343.92	Facility		$110.20	$149.03	$343.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.60 / $293.83 / $408.10	Professional		$222.60	$293.83	$408.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $242.32 / $302.89 / $567.23	Facility		$242.32	$302.89	$567.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $545.22 / $828.33	Professional		$150.24	$545.22	$828.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $155.16 / $155.16 / $155.16	Professional		$155.16	$155.16	$155.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.25 / $446.25 / $446.25	Professional		$446.25	$446.25	$446.25
United Facility/Professional Professional Modifier Low / Median / High Price $97.11 / $175.02 / $457.65	Professional		$97.11	$175.02	$457.65