Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.95 / $110.05 / $387.73	Facility		$59.95	$110.05	$387.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $111.74 / $187.17	Professional		$66.44	$111.74	$187.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $163.10 / $339.08	Professional		$95.41	$163.10	$339.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.61 / $483.34 / $741.46	Facility		$413.61	$483.34	$741.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $263.48 / $434.03	Professional		$159.69	$263.48	$434.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $124.10 / $194.56	Facility		$78.48	$124.10	$194.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $121.76 / $202.84	Facility		$78.43	$121.76	$202.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.64 / $415.79 / $951.45	Professional		$192.64	$415.79	$951.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $117.90 / $269.03	Professional		$77.30	$117.90	$269.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $124.10 / $194.63	Facility		$78.48	$124.10	$194.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $121.31 / $214.49 / $403.74	Professional		$121.31	$214.49	$403.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $178.14 / $178.14 / $178.14	Facility		$178.14	$178.14	$178.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $400.82 / $578.25 / $951.45	Professional		$400.82	$578.25	$951.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $112.39 / $193.18 / $318.22	Professional		$112.39	$193.18	$318.22
United Facility/Professional Professional Modifier Low / Median / High Price $161.80 / $305.44 / $404.36	Professional		$161.80	$305.44	$404.36