Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.51 / $140.04 / $140.04	Facility		$83.51	$140.04	$140.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $90.82 / $158.66	Professional		$79.95	$90.82	$158.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.81 / $146.80 / $310.92	Professional		$96.81	$146.80	$310.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.90 / $278.00 / $426.46	Facility		$237.90	$278.00	$426.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $126.21 / $256.16	Professional		$81.84	$126.21	$256.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.51 / $101.23 / $194.03	Facility		$83.51	$101.23	$194.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $101.23 / $196.04	Facility		$79.95	$101.23	$196.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $182.45 / $613.55	Professional		$108.45	$182.45	$613.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $104.78 / $203.25	Professional		$61.39	$104.78	$203.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.51 / $101.23 / $189.45	Facility		$83.51	$101.23	$189.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.00 / $220.06 / $312.29	Professional		$165.00	$220.06	$312.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $485.85 / $613.55	Professional		$81.84	$485.85	$613.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $161.74 / $296.11 / $307.43	Professional		$161.74	$296.11	$307.43
United Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $192.83 / $359.09	Professional		$107.17	$192.83	$359.09