Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.55 / $95.83 / $336.61	Facility		$84.55	$95.83	$336.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $102.55 / $201.69	Professional		$78.20	$102.55	$201.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $177.81 / $291.62	Professional		$99.99	$177.81	$291.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.33 / $401.20 / $615.46	Facility		$343.33	$401.20	$615.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.28 / $323.48 / $367.59	Professional		$209.28	$323.48	$367.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $120.65 / $264.88	Facility		$57.04	$120.65	$264.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $120.65 / $264.88	Facility		$57.04	$120.65	$264.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $175.29 / $271.93	Professional		$109.38	$175.29	$271.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $127.60 / $267.97	Professional		$79.75	$127.60	$267.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $120.65 / $264.88	Facility		$57.04	$120.65	$264.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $167.93 / $299.52 / $420.82	Professional		$167.93	$299.52	$420.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $244.92 / $248.54 / $588.88	Facility		$244.92	$248.54	$588.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $149.13 / $261.57	Professional		$149.13	$149.13	$261.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $225.97 / $381.42 / $381.42	Professional		$225.97	$381.42	$381.42
United Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $164.87 / $271.93	Professional		$103.88	$164.87	$271.93