Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.83 / $496.26 / $710.45	Facility		$166.83	$496.26	$710.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $217.14 / $320.99	Professional		$158.27	$217.14	$320.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.16 / $378.44 / $654.64	Professional		$212.16	$378.44	$654.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.81 / $854.01 / $1,135.05	Facility		$730.81	$854.01	$1,135.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.92 / $476.18 / $771.98	Professional		$215.92	$476.18	$771.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.39 / $233.56 / $389.60	Facility		$164.39	$233.56	$389.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $232.99 / $395.26	Facility		$162.22	$232.99	$395.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $505.26 / $1,749.17	Professional		$265.26	$505.26	$1,749.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $265.88 / $538.06	Professional		$154.53	$265.88	$538.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.39 / $233.56 / $400.39	Facility		$164.39	$233.56	$400.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $577.13 / $826.05	Professional		$373.75	$577.13	$826.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.33 / $365.86 / $870.43	Facility		$257.33	$365.86	$870.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.42 / $881.30 / $1,749.17	Professional		$263.42	$881.30	$1,749.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $321.82 / $673.73 / $961.16	Professional		$321.82	$673.73	$961.16
United Facility/Professional Professional Modifier Low / Median / High Price $265.26 / $464.82 / $702.06	Professional		$265.26	$464.82	$702.06