Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.90 / $101.90 / $101.90	Facility		$101.90	$101.90	$101.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $102.71 / $122.60	Professional		$90.76	$102.71	$122.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $151.72 / $316.39	Professional		$100.62	$151.72	$316.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.12 / $488.61 / $749.53	Facility		$418.12	$488.61	$749.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $192.92 / $289.00	Professional		$141.06	$192.92	$289.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $99.59 / $121.13 / $189.03	Facility		$99.59	$121.13	$189.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.11 / $122.60 / $203.57	Facility		$99.11	$122.60	$203.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $217.53 / $882.23	Professional		$129.10	$217.53	$882.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.91 / $113.00 / $265.86	Professional		$77.91	$113.00	$265.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $99.59 / $121.22 / $189.03	Facility		$99.59	$121.22	$189.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $226.24 / $226.24 / $617.20	Facility		$226.24	$226.24	$617.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $671.04 / $882.23	Professional		$141.06	$671.04	$882.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.84 / $141.84 / $141.84	Professional		$141.84	$141.84	$141.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.33 / $245.33 / $323.39	Professional		$245.33	$245.33	$323.39
United Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $184.22 / $292.88	Professional		$123.72	$184.22	$292.88