Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.84 / $142.22 / $253.47	Facility		$81.84	$142.22	$253.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $81.84 / $242.62	Professional		$60.11	$81.84	$242.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $170.89 / $303.12	Professional		$66.14	$170.89	$303.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.73 / $215.87 / $348.19	Facility		$184.73	$215.87	$348.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $207.19 / $242.57	Professional		$98.29	$207.19	$242.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.53 / $92.60 / $135.90	Facility		$69.53	$92.60	$135.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.84 / $514.40 / $1,789.00	Facility		$75.84	$514.40	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $164.81 / $340.87	Professional		$77.66	$164.81	$340.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $65.00 / $145.41	Professional		$26.80	$65.00	$145.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $92.60 / $135.90	Facility		$70.48	$92.60	$135.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $191.44 / $241.88	Professional		$138.44	$191.44	$241.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $329.35 / $519.52	Professional		$101.49	$329.35	$519.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $126.62 / $126.62	Professional		$126.62	$126.62	$126.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $218.38 / $218.38	Professional		$136.91	$218.38	$218.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $173.92 / $288.68	Professional		$77.66	$173.92	$288.68