Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $190.02 / $265.08	Facility		$73.13	$190.02	$265.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $85.08 / $125.34	Professional		$69.84	$85.08	$125.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.56 / $135.69 / $250.27	Professional		$89.56	$135.69	$250.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $314.86 / $418.47	Facility		$269.43	$314.86	$418.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.27 / $197.36 / $286.69	Professional		$97.27	$197.36	$286.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $96.90 / $197.12	Facility		$73.13	$96.90	$197.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $97.94 / $203.42	Facility		$72.98	$97.94	$203.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $214.42 / $721.97	Professional		$112.17	$214.42	$721.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $176.79 / $210.05	Professional		$60.00	$176.79	$210.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $96.13 / $195.73	Facility		$73.13	$96.13	$195.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $240.79 / $308.14	Professional		$158.88	$240.79	$308.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $160.06 / $383.01 / $428.31	Facility		$160.06	$383.01	$428.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.30 / $436.14 / $721.97	Professional		$116.30	$436.14	$721.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $101.78 / $101.78 / $120.58	Professional		$101.78	$101.78	$120.58
Security Health Facility/Professional Facility Modifier Low / Median / High Price $142.97 / $142.97 / $142.97	Facility		$142.97	$142.97	$142.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $173.58 / $210.18	Professional		$120.89	$173.58	$210.18
United Facility/Professional Professional Modifier Low / Median / High Price $105.97 / $174.55 / $269.80	Professional		$105.97	$174.55	$269.80