Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.34 / $160.29 / $160.29	Facility		$95.34	$160.29	$160.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $99.82 / $122.91	Professional		$85.42	$99.82	$122.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $134.47 / $341.93	Professional		$100.36	$134.47	$341.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.55 / $324.33 / $431.07	Facility		$277.55	$324.33	$431.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $143.91 / $301.83	Professional		$92.85	$143.91	$301.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $88.02 / $106.88 / $207.60	Facility		$88.02	$106.88	$207.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Professional		$82.00	$82.00	$82.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.02 / $106.88 / $213.34	Facility		$88.02	$106.88	$213.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $182.83 / $661.18	Professional		$109.71	$182.83	$661.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $97.84 / $200.86	Professional		$59.78	$97.84	$200.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $88.02 / $106.88 / $207.60	Facility		$88.02	$106.88	$207.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $82.00 / $82.00	Professional		$82.00	$82.00	$82.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $246.11 / $343.20	Professional		$134.69	$246.11	$343.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $125.53 / $199.78 / $530.37	Facility		$125.53	$199.78	$530.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $524.04 / $661.18	Professional		$92.85	$524.04	$661.18
Security Health Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $148.49 / $148.49	Facility		$148.49	$148.49	$148.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $126.22 / $216.64 / $220.57	Professional		$126.22	$216.64	$220.57
United Facility/Professional Professional Modifier Low / Median / High Price $109.71 / $182.24 / $344.60	Professional		$109.71	$182.24	$344.60