Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.61 / $302.60 / $422.13	Facility		$118.61	$302.60	$422.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $148.97 / $419.90	Professional		$106.31	$148.97	$419.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.90 / $229.54 / $397.96	Professional		$135.90	$229.54	$397.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.64 / $504.40 / $670.39	Facility		$431.64	$504.40	$670.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $301.36 / $457.43	Professional		$135.50	$301.36	$457.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.88 / $150.10 / $298.08	Facility		$96.88	$150.10	$298.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.82 / $150.10 / $298.08	Facility		$100.82	$150.10	$298.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $323.00 / $1,021.95	Professional		$167.41	$323.00	$1,021.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $237.54 / $360.37	Professional		$78.16	$237.54	$360.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.28 / $150.10 / $298.08	Facility		$98.28	$150.10	$298.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $227.17 / $358.08 / $489.81	Professional		$227.17	$358.08	$489.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $231.54 / $551.02	Facility		$163.28	$231.54	$551.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.93 / $695.88 / $1,021.95	Professional		$169.93	$695.88	$1,021.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $208.57 / $208.57 / $271.87	Professional		$208.57	$208.57	$271.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $231.63 / $358.86 / $479.33	Professional		$231.63	$358.86	$479.33
United Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $262.20 / $436.47	Professional		$167.41	$262.20	$436.47