Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.74 / $99.74 / $99.74	Facility		$99.74	$99.74	$99.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.91 / $104.33 / $129.88	Professional		$88.91	$104.33	$129.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $151.38 / $439.74	Professional		$104.99	$151.38	$439.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.66 / $333.81 / $443.66	Facility		$285.66	$333.81	$443.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $150.97 / $306.27	Professional		$96.42	$150.97	$306.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.74 / $110.88 / $201.22	Facility		$99.74	$110.88	$201.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.58 / $110.88 / $215.12	Facility		$92.58	$110.88	$215.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.99 / $205.55 / $698.47	Professional		$116.99	$205.55	$698.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.14 / $103.64 / $203.25	Professional		$60.14	$103.64	$203.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.74 / $110.88 / $215.12	Facility		$99.74	$110.88	$215.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.16 / $255.57 / $356.40	Professional		$163.16	$255.57	$356.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $207.08 / $544.91	Facility		$124.10	$207.08	$544.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $548.79 / $698.47	Professional		$96.42	$548.79	$698.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $321.27 / $381.33	Professional		$149.36	$321.27	$381.33
United Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $210.19 / $411.60	Professional		$114.40	$210.19	$411.60