Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.58 / $139.58 / $139.58	Facility		$139.58	$139.58	$139.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $148.44 / $186.75	Professional		$135.55	$148.44	$186.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.09 / $210.43 / $547.14	Professional		$155.09	$210.43	$547.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.92 / $490.71 / $752.76	Facility		$419.92	$490.71	$752.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $247.60 / $295.55	Professional		$141.06	$247.60	$295.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $137.69 / $151.15 / $222.29	Facility		$137.69	$151.15	$222.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.37 / $153.54 / $251.92	Facility		$133.37	$153.54	$251.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $319.95 / $1,105.55	Professional		$202.50	$319.95	$1,105.55
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 $137.69 / $153.54 / $222.29	Facility		$137.69	$153.54	$222.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $170.50 / $308.10 / $475.75	Professional		$170.50	$308.10	$475.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $300.83 / $305.00 / $788.47	Facility		$300.83	$305.00	$788.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $888.15 / $1,105.55	Professional		$141.06	$888.15	$1,105.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $370.48 / $370.48 / $434.85	Professional		$370.48	$370.48	$434.85
United Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $281.30 / $480.06	Professional		$195.15	$281.30	$480.06