Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.45 / $181.45 / $181.45	Facility		$181.45	$181.45	$181.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $175.00 / $192.91	Professional		$70.30	$175.00	$192.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $134.41 / $346.04	Professional		$80.48	$134.41	$346.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.23 / $593.91 / $789.35	Facility		$508.23	$593.91	$789.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $151.91 / $264.38	Professional		$68.73	$151.91	$264.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.66 / $171.50 / $236.84	Facility		$78.66	$171.50	$236.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.00 / $164.26 / $236.84	Facility		$81.00	$164.26	$236.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $176.03 / $542.51	Professional		$94.50	$176.03	$542.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $296.43	Professional		$50.00	$58.40	$296.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.66 / $171.50 / $236.84	Facility		$78.66	$171.50	$236.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $197.20 / $275.00	Professional		$107.45	$197.20	$275.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.21 / $159.28 / $442.50	Facility		$93.21	$159.28	$442.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $428.10 / $542.51	Professional		$68.73	$428.10	$542.51
United Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $183.60 / $362.92	Professional		$94.50	$183.60	$362.92