Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.27 / $120.15 / $200.00	Facility		$86.27	$120.15	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.65 / $60.70 / $124.15	Professional		$51.65	$60.70	$124.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $135.91 / $355.33	Professional		$55.66	$135.91	$355.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.68 / $173.75 / $230.93	Facility		$148.68	$173.75	$230.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.77 / $199.46 / $250.47	Professional		$82.77	$199.46	$250.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.65 / $86.27 / $183.04	Facility		$51.65	$86.27	$183.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.65 / $91.00 / $294.12	Facility		$51.65	$91.00	$294.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.87 / $193.61 / $2,895.10	Professional		$70.87	$193.61	$2,895.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $58.22 / $123.70	Professional		$20.70	$58.22	$123.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.65 / $86.27 / $183.04	Facility		$51.65	$86.27	$183.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $170.42 / $602.67	Professional		$113.75	$170.42	$602.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $299.00 / $598.83 / $598.83	Facility		$299.00	$598.83	$598.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $94.86 / $702.36 / $2,895.10	Professional		$94.86	$702.36	$2,895.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $149.13 / $149.13	Professional		$149.13	$149.13	$149.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $337.21 / $355.45	Professional		$120.96	$337.21	$355.45
United Facility/Professional Professional Modifier Low / Median / High Price $67.33 / $147.65 / $391.93	Professional		$67.33	$147.65	$391.93