Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.72 / $90.72 / $90.72	Facility		$90.72	$90.72	$90.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $86.23 / $98.53	Professional		$45.38	$86.23	$98.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.82 / $157.40 / $433.84	Professional		$89.82	$157.40	$433.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $422.63 / $493.87 / $561.22	Facility		$422.63	$493.87	$561.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $226.41 / $300.39	Professional		$76.70	$226.41	$300.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.18 / $90.72 / $116.24	Facility		$85.18	$90.72	$116.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.18 / $92.36 / $185.70	Facility		$85.18	$92.36	$185.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $136.69 / $368.91	Professional		$88.62	$136.69	$368.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.56 / $65.00 / $330.80	Professional		$31.56	$65.00	$330.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $85.18 / $90.72 / $116.24	Facility		$85.18	$90.72	$116.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $220.08 / $301.82	Professional		$103.23	$220.08	$301.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $175.33 / $179.28 / $493.85	Facility		$175.33	$179.28	$493.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $477.75 / $605.40	Professional		$76.70	$477.75	$605.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $154.55 / $163.63	Professional		$154.55	$154.55	$163.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $137.00 / $314.06	Professional		$86.37	$137.00	$314.06