Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.24 / $93.21 / $109.65	Facility		$82.24	$93.21	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.86 / $109.65 / $166.88	Professional		$87.86	$109.65	$166.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $203.47 / $385.85	Professional		$121.84	$203.47	$385.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $314.68 / $357.59	Professional		$145.07	$314.68	$357.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $117.48 / $164.48	Facility		$81.33	$117.48	$164.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.77 / $140.97 / $573.72	Facility		$83.77	$140.97	$573.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $181.61 / $333.17	Professional		$117.48	$181.61	$333.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $95.64	Professional		$50.00	$65.00	$95.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $81.33 / $117.48 / $164.48	Facility		$81.33	$117.48	$164.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.77 / $298.95 / $380.40	Professional		$202.77	$298.95	$380.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $241.78 / $241.78 / $573.72	Facility		$241.78	$241.78	$573.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $145.07 / $145.07	Professional		$145.07	$145.07	$145.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $262.19 / $262.19	Professional		$144.84	$262.19	$262.19
United Facility/Professional Professional Modifier Low / Median / High Price $117.48 / $222.87 / $349.24	Professional		$117.48	$222.87	$349.24