Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.89 / $259.45 / $361.95	Facility		$121.89	$259.45	$361.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $144.46 / $816.00	Professional		$115.60	$144.46	$816.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.01 / $215.56 / $406.31	Professional		$142.01	$215.56	$406.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.46 / $431.74 / $662.30	Facility		$369.46	$431.74	$662.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.38 / $336.60 / $478.13	Professional		$151.38	$336.60	$478.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $112.77 / $145.88 / $295.07	Facility		$112.77	$145.88	$295.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.77 / $145.88 / $295.07	Facility		$112.77	$145.88	$295.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.31 / $242.20 / $1,352.50	Professional		$152.31	$242.20	$1,352.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $193.55 / $274.69	Professional		$79.75	$193.55	$274.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $112.77 / $145.88 / $292.54	Facility		$112.77	$145.88	$292.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $261.50 / $330.51 / $475.82	Professional		$261.50	$330.51	$475.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $634.28	Facility		$162.16	$162.16	$634.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $712.70 / $1,352.50	Professional		$171.98	$712.70	$1,352.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.21 / $246.21 / $246.21	Professional		$246.21	$246.21	$246.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $241.50 / $411.68 / $411.68	Professional		$241.50	$411.68	$411.68
United Facility/Professional Facility Modifier Low / Median / High Price $179.22 / $179.22 / $179.22	Facility		$179.22	$179.22	$179.22
United Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $229.93 / $442.53	Professional		$149.05	$229.93	$442.53