Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $89.85 / $89.85	Facility		$89.85	$89.85	$89.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $92.93 / $113.26	Professional		$81.39	$92.93	$113.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $136.22 / $324.20	Professional		$97.78	$136.22	$324.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.94 / $320.12 / $491.07	Facility		$273.94	$320.12	$491.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $159.38 / $191.34	Professional		$92.55	$159.38	$191.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.24 / $96.46 / $134.78	Facility		$87.24	$96.46	$134.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $96.46 / $163.10	Facility		$86.35	$96.46	$163.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $189.94 / $661.36	Professional		$119.15	$189.94	$661.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $84.18 / $200.86	Professional		$59.53	$84.18	$200.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $87.24 / $97.86 / $134.78	Facility		$87.24	$97.86	$134.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.87 / $202.15 / $312.14	Professional		$111.87	$202.15	$312.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.76 / $197.46 / $529.32	Facility		$194.76	$197.46	$529.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $524.15 / $661.36	Professional		$92.55	$524.15	$661.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $125.01 / $125.01	Professional		$125.01	$125.01	$125.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $172.69 / $214.13 / $214.13	Professional		$172.69	$214.13	$214.13
United Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $181.98 / $283.31	Professional		$119.15	$181.98	$283.31