Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.66 / $243.06 / $339.07	Facility		$114.66	$243.06	$339.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $122.03 / $339.07	Professional		$106.32	$122.03	$339.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $197.99 / $382.21	Professional		$133.78	$197.99	$382.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.93 / $405.42 / $621.91	Facility		$346.93	$405.42	$621.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.71 / $314.33 / $446.48	Professional		$145.71	$314.33	$446.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $103.61 / $137.54 / $275.18	Facility		$103.61	$137.54	$275.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.61 / $137.54 / $271.47	Facility		$103.61	$137.54	$271.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.27 / $226.66 / $1,352.50	Professional		$144.27	$226.66	$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 $103.61 / $137.54 / $271.47	Facility		$103.61	$137.54	$271.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $244.65 / $309.20 / $445.16	Professional		$244.65	$309.20	$445.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $593.41	Facility		$152.16	$152.16	$593.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $160.44 / $669.35 / $1,352.50	Professional		$160.44	$669.35	$1,352.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $231.49 / $231.49 / $231.49	Professional		$231.49	$231.49	$231.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $231.49 / $386.13 / $386.13	Professional		$231.49	$386.13	$386.13
United Facility/Professional Professional Modifier Low / Median / High Price $143.40 / $220.89 / $415.61	Professional		$143.40	$220.89	$415.61