Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.42 / $212.56 / $296.52	Facility		$100.42	$212.56	$296.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $104.49 / $174.17	Professional		$90.50	$104.49	$174.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.60 / $174.37 / $334.72	Professional		$116.60	$174.37	$334.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.88 / $352.77 / $541.15	Facility		$301.88	$352.77	$541.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.96 / $275.55 / $381.96	Professional		$121.96	$275.55	$381.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $120.81 / $241.01	Facility		$90.50	$120.81	$241.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $122.52 / $241.01	Facility		$90.50	$122.52	$241.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $206.16 / $1,082.00	Professional		$122.35	$206.16	$1,082.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.15 / $145.74 / $206.29	Professional		$61.15	$145.74	$206.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $120.81 / $236.28	Facility		$90.50	$120.81	$236.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.07 / $270.56 / $377.30	Professional		$214.07	$270.56	$377.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $519.25	Facility		$132.90	$132.90	$519.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $583.90 / $1,082.00	Professional		$139.78	$583.90	$1,082.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $202.10 / $202.10	Professional		$202.10	$202.10	$202.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $193.20 / $336.96 / $336.96	Professional		$193.20	$336.96	$336.96
United Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $202.90 / $315.42	Professional		$121.98	$202.90	$315.42