Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.47 / $423.44 / $590.70	Facility		$199.47	$423.44	$590.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $212.28 / $346.81	Professional		$180.55	$212.28	$346.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.11 / $350.80 / $647.20	Professional		$227.11	$350.80	$647.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $601.95 / $703.42 / $1,079.07	Facility		$601.95	$703.42	$1,079.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.67 / $548.63 / $779.30	Professional		$244.67	$548.63	$779.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $241.69 / $478.73	Facility		$180.55	$241.69	$478.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $250.77 / $478.73	Facility		$180.55	$250.77	$478.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.29 / $417.68 / $2,055.80	Professional		$244.29	$417.68	$2,055.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.56 / $340.98 / $480.99	Professional		$138.56	$340.98	$480.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.21 / $238.71 / $473.37	Facility		$180.21	$238.71	$473.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.88 / $539.54 / $752.40	Professional		$426.88	$539.54	$752.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.67 / $264.67 / $1,035.45	Facility		$264.67	$264.67	$1,035.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $1,163.20 / $2,055.80	Professional		$277.20	$1,163.20	$2,055.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $402.07 / $402.07 / $402.07	Professional		$402.07	$402.07	$402.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $367.08 / $671.61 / $671.61	Professional		$367.08	$671.61	$671.61
United Facility/Professional Professional Modifier Low / Median / High Price $243.24 / $397.81 / $628.36	Professional		$243.24	$397.81	$628.36