Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $162.97 / $230.82	Facility		$77.19	$162.97	$230.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $85.96 / $369.00	Professional		$69.34	$85.96	$369.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $128.84 / $271.49	Professional		$87.06	$128.84	$271.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.39 / $272.73 / $418.38	Facility		$233.39	$272.73	$418.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $217.17 / $293.91	Professional		$84.33	$217.17	$293.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.92 / $91.67 / $181.14	Facility		$69.92	$91.67	$181.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $94.53 / $181.14	Facility		$77.19	$94.53	$181.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $196.29 / $679.98	Professional		$111.42	$196.29	$679.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $95.64 / $206.29	Professional		$59.53	$95.64	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $91.67 / $181.14	Facility		$69.34	$91.67	$181.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $213.65 / $293.70	Professional		$164.14	$213.65	$293.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $398.13 / $398.13 / $398.13	Facility		$398.13	$398.13	$398.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $381.15 / $679.98	Professional		$113.90	$381.15	$679.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.34 / $129.34 / $129.34	Professional		$129.34	$129.34	$129.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $152.52 / $180.95 / $183.70	Professional		$152.52	$180.95	$183.70
United Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $182.48 / $294.07	Professional		$108.00	$182.48	$294.07