Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.94 / $251.94 / $251.94	Facility		$251.94	$251.94	$251.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.27 / $251.94 / $448.20	Professional		$42.27	$251.94	$448.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $725.88 / $1,987.59	Professional		$47.18	$725.88	$1,987.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.60 / $281.16 / $319.50	Facility		$240.60	$281.16	$319.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $126.56 / $161.65	Professional		$101.25	$126.56	$161.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.90 / $129.29 / $294.77	Facility		$70.90	$129.29	$294.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.81 / $100.60 / $374.90	Facility		$63.81	$100.60	$374.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $73.09 / $153.26	Professional		$51.43	$73.09	$153.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $178.31	Professional		$50.00	$58.40	$178.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.90 / $179.33 / $294.77	Facility		$70.90	$179.33	$294.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $92.44 / $198.22 / $282.70	Professional		$92.44	$198.22	$282.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $171.15 / $178.19 / $1,252.31	Facility		$171.15	$178.19	$1,252.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $337.63 / $1,262.25 / $3,919.21	Professional		$337.63	$1,262.25	$3,919.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $104.12 / $104.12	Professional		$104.12	$104.12	$104.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $166.98 / $312.29 / $312.29	Professional		$166.98	$312.29	$312.29
United Facility/Professional Professional Modifier Low / Median / High Price $52.15 / $81.20 / $124.52	Professional		$52.15	$81.20	$124.52