Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $253.28 / $342.97	Facility		$200.00	$253.28	$342.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.25 / $177.49 / $347.01	Professional		$146.25	$177.49	$347.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.11 / $335.24 / $971.15	Professional		$150.11	$335.24	$971.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.36 / $528.62 / $702.58	Facility		$452.36	$528.62	$702.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.74 / $584.74 / $664.48	Professional		$155.74	$584.74	$664.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $131.79 / $182.92 / $320.83	Facility		$131.79	$182.92	$320.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.79 / $185.24 / $380.17	Facility		$131.79	$185.24	$380.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $381.14 / $1,102.83	Professional		$166.01	$381.14	$1,102.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $130.01 / $307.93	Professional		$56.22	$130.01	$307.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $131.79 / $182.92 / $320.83	Facility		$131.79	$182.92	$320.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $319.14 / $388.87 / $622.88	Professional		$319.14	$388.87	$622.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $397.23 / $743.28 / $743.28	Facility		$397.23	$743.28	$743.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $246.28 / $790.75 / $1,102.83	Professional		$246.28	$790.75	$1,102.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $444.35 / $444.35 / $444.35	Professional		$444.35	$444.35	$444.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $300.39 / $976.74 / $1,041.89	Professional		$300.39	$976.74	$1,041.89
United Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $340.02 / $642.28	Professional		$161.00	$340.02	$642.28