Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.98 / $322.20 / $535.67	Facility		$101.98	$322.20	$535.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $127.48 / $1,432.80	Professional		$101.98	$127.48	$1,432.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $108.36 / $357.10	Professional		$106.24	$108.36	$357.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.36 / $437.25 / $689.77	Facility		$108.36	$437.25	$689.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $238.22 / $270.70	Professional		$108.36	$238.22	$270.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.98 / $108.36 / $167.62	Facility		$101.98	$108.36	$167.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $108.36 / $264.49	Facility		$68.34	$108.36	$264.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $169.98	Professional		$106.24	$106.24	$169.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.86 / $244.63	Professional		$55.00	$70.86	$244.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.98 / $108.36 / $167.62	Facility		$101.98	$108.36	$167.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.10 / $272.14 / $379.50	Professional		$124.10	$272.14	$379.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $431.25 / $431.25 / $431.25	Facility		$431.25	$431.25	$431.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $121.90 / $437.00	Professional		$108.36	$121.90	$437.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $174.60 / $174.60 / $174.60	Professional		$174.60	$174.60	$174.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $562.17 / $562.17	Professional		$97.20	$562.17	$562.17
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $138.11	Professional		$106.24	$106.24	$138.11