Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.84 / $105.84 / $105.84	Facility		$105.84	$105.84	$105.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $109.81 / $131.93	Professional		$97.31	$109.81	$131.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $160.22 / $389.82	Professional		$117.59	$160.22	$389.82
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 / $187.73 / $225.04	Professional		$107.43	$187.73	$225.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.14 / $114.31 / $158.76	Facility		$102.14	$114.31	$158.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.56 / $114.31 / $191.83	Facility		$101.56	$114.31	$191.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.81 / $228.91 / $768.84	Professional		$143.81	$228.91	$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 $102.14 / $114.43 / $158.76	Facility		$102.14	$114.43	$158.76
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 / $630.20 / $768.84	Professional		$107.43	$630.20	$768.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $282.10 / $282.10 / $329.70	Professional		$282.10	$282.10	$329.70
United Facility/Professional Professional Modifier Low / Median / High Price $131.01 / $201.98 / $340.64	Professional		$131.01	$201.98	$340.64