Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.02 / $105.42 / $124.02	Facility		$93.02	$105.42	$124.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.42 / $156.15 / $216.33	Professional		$105.42	$156.15	$216.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $262.64 / $508.40	Professional		$137.80	$262.64	$508.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $352.79 / $400.90	Professional		$162.63	$352.79	$400.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $144.86 / $186.03	Facility		$117.07	$144.86	$186.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $169.10 / $685.02	Facility		$120.58	$169.10	$685.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $257.56 / $459.56	Professional		$157.97	$257.56	$459.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $79.99 / $127.99	Professional		$50.00	$79.99	$127.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $144.86 / $186.03	Facility		$117.07	$144.86	$186.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $226.31 / $335.02 / $424.57	Professional		$226.31	$335.02	$424.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $271.06 / $271.06 / $685.02	Facility		$271.06	$271.06	$685.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $162.63 / $162.63	Professional		$162.63	$162.63	$162.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $244.50 / $293.92 / $293.92	Professional		$244.50	$293.92	$293.92
United Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $294.05 / $648.74	Professional		$157.97	$294.05	$648.74