Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $87.33 / $265.08	Facility		$73.13	$87.33	$265.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.08 / $109.65	Professional		$70.79	$85.08	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.26 / $130.04 / $246.78	Professional		$81.26	$130.04	$246.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.43 / $314.86 / $483.00	Facility		$269.43	$314.86	$483.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.25 / $208.32 / $286.69	Professional		$115.25	$208.32	$286.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $93.76 / $142.52	Facility		$73.13	$93.76	$142.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $93.76 / $156.58	Facility		$73.13	$93.76	$156.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $204.30 / $636.69	Professional		$115.49	$204.30	$636.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $170.03 / $188.43	Professional		$59.78	$170.03	$188.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $93.76 / $138.94	Facility		$73.13	$93.76	$138.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.22 / $199.57 / $296.06	Professional		$109.22	$199.57	$296.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $160.06 / $160.06 / $383.01	Facility		$160.06	$160.06	$383.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $436.14 / $636.69	Professional		$133.74	$436.14	$636.69
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 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 $110.47 / $174.55 / $274.64	Professional		$110.47	$174.55	$274.64