Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $322.38 / $815.57	Facility		$89.66	$322.38	$815.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $89.66 / $248.80	Professional		$89.66	$89.66	$248.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $100.00 / $316.70	Professional		$98.45	$100.00	$316.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $333.82 / $526.61	Facility		$95.27	$333.82	$526.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $181.82 / $206.61	Professional		$95.27	$181.82	$206.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $102.86 / $142.88	Facility		$89.66	$102.86	$142.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $102.86 / $229.21	Facility		$89.66	$102.86	$229.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $210.00	Professional		$100.00	$100.00	$210.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $186.69	Professional		$55.00	$85.00	$186.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $102.86 / $228.93	Facility		$89.66	$102.86	$228.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $257.14 / $358.60	Professional		$117.26	$257.14	$358.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $420.30 / $420.30 / $420.30	Facility		$420.30	$420.30	$420.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $118.80 / $425.90	Professional		$95.27	$118.80	$425.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $133.26 / $133.26 / $133.26	Professional		$133.26	$133.26	$133.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $429.08 / $429.08	Professional		$141.25	$429.08	$429.08
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $130.00	Professional		$100.00	$100.00	$130.00