Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.99 / $169.81 / $200.00	Facility		$126.99	$169.81	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.92 / $89.13 / $173.97	Professional		$73.92	$89.13	$173.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $169.83 / $511.21	Professional		$77.01	$169.83	$511.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.38 / $262.20 / $348.49	Facility		$224.38	$262.20	$348.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $290.51 / $330.13	Professional		$100.75	$290.51	$330.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $111.91 / $165.09	Facility		$73.61	$111.91	$165.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $126.99 / $230.40	Facility		$73.61	$126.99	$230.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $207.41 / $612.74	Professional		$87.48	$207.41	$612.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $79.18 / $186.96	Professional		$38.00	$79.18	$186.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.61 / $119.77 / $165.09	Facility		$73.61	$119.77	$165.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $237.61 / $437.15	Professional		$158.60	$237.61	$437.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $197.35 / $369.39 / $369.39	Facility		$197.35	$369.39	$369.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $392.60 / $612.74	Professional		$134.60	$392.60	$612.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.01 / $223.01 / $223.01	Professional		$223.01	$223.01	$223.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $172.66 / $491.87 / $517.65	Professional		$172.66	$491.87	$517.65
United Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $188.03 / $344.11	Professional		$83.68	$188.03	$344.11