Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.74 / $204.46 / $285.22	Facility		$92.74	$204.46	$285.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.29 / $106.72 / $275.11	Professional		$84.29	$106.72	$275.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $163.93 / $286.44	Professional		$105.67	$163.93	$286.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.06 / $340.13 / $452.06	Facility		$291.06	$340.13	$452.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.30 / $220.26 / $309.94	Professional		$105.30	$220.26	$309.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.36 / $106.72 / $193.86	Facility		$82.36	$106.72	$193.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.36 / $106.72 / $193.86	Facility		$82.36	$106.72	$193.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $222.32 / $702.61	Professional		$120.99	$222.32	$702.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $175.35 / $236.07	Professional		$59.78	$175.35	$236.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.36 / $106.72 / $194.85	Facility		$82.36	$106.72	$194.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.99 / $251.89 / $331.22	Professional		$155.99	$251.89	$331.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $127.81 / $180.88 / $431.45	Facility		$127.81	$180.88	$431.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $489.00 / $702.61	Professional		$121.98	$489.00	$702.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $162.41 / $187.29	Professional		$162.41	$162.41	$187.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $167.52 / $280.36 / $324.79	Professional		$167.52	$280.36	$324.79
United Facility/Professional Professional Modifier Low / Median / High Price $116.83 / $183.41 / $300.42	Professional		$116.83	$183.41	$300.42