Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $111.71 / $111.71	Facility		$111.71	$111.71	$111.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $120.31 / $144.34	Professional		$86.76	$120.31	$144.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $174.04 / $329.59	Professional		$117.59	$174.04	$329.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.89 / $373.83 / $573.46	Facility		$319.89	$373.83	$573.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $221.11 / $355.33	Professional		$107.43	$221.11	$355.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $122.88 / $167.57	Facility		$111.71	$122.88	$167.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $122.20 / $169.26	Facility		$111.71	$122.20	$169.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $227.41 / $768.84	Professional		$144.28	$227.41	$768.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $111.87 / $268.78	Professional		$79.39	$111.87	$268.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $123.02 / $167.57	Facility		$111.71	$123.02	$167.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.85 / $234.65 / $362.34	Professional		$129.85	$234.65	$362.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.07 / $232.24 / $601.19	Facility		$229.07	$232.24	$601.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $634.85 / $768.84	Professional		$107.43	$634.85	$768.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $147.35 / $147.35	Professional		$147.35	$147.35	$147.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $183.91 / $251.85 / $251.85	Professional		$183.91	$251.85	$251.85
United Facility/Professional Professional Modifier Low / Median / High Price $140.58 / $212.04 / $343.15	Professional		$140.58	$212.04	$343.15