Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.73 / $185.73 / $185.73	Facility		$185.73	$185.73	$185.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $196.83 / $251.18	Professional		$167.84	$196.83	$251.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $317.67 / $601.85	Professional		$195.50	$317.67	$601.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.46 / $623.39 / $956.30	Facility		$533.46	$623.39	$956.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $279.83 / $375.20	Professional		$183.31	$279.83	$375.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $175.79 / $210.52 / $406.69	Facility		$175.79	$210.52	$406.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.63 / $210.52 / $414.50	Facility		$173.63	$210.52	$414.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $350.64 / $1,287.73	Professional		$216.60	$350.64	$1,287.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $192.46 / $401.72	Professional		$117.74	$192.46	$401.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $175.79 / $210.52 / $406.69	Facility		$175.79	$210.52	$406.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $332.64 / $485.90 / $699.53	Professional		$332.64	$485.90	$699.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $234.54 / $234.54 / $1,047.39	Facility		$234.54	$234.54	$1,047.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $1,017.80 / $1,287.73	Professional		$183.31	$1,017.80	$1,287.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $330.64 / $576.45 / $687.26	Professional		$330.64	$576.45	$687.26
United Facility/Professional Professional Modifier Low / Median / High Price $216.60 / $350.35 / $673.61	Professional		$216.60	$350.35	$673.61