Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.85 / $200.00 / $222.05	Facility		$178.85	$200.00	$222.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.89 / $136.16 / $239.91	Professional		$100.89	$136.16	$239.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $235.87 / $642.51	Professional		$108.46	$235.87	$642.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $342.23 / $454.86	Facility		$292.86	$342.23	$454.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $378.87 / $430.54	Professional		$144.41	$378.87	$430.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $178.85 / $244.32	Facility		$104.49	$178.85	$244.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $178.85 / $500.82	Facility		$104.09	$178.85	$500.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.68 / $295.08 / $1,186.72	Professional		$124.68	$295.08	$1,186.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $80.11 / $186.96	Professional		$38.20	$80.11	$186.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.49 / $178.85 / $244.32	Facility		$104.49	$178.85	$244.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $309.67 / $867.23	Professional		$206.70	$309.67	$867.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $500.82 / $500.82	Facility		$279.00	$500.82	$500.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $655.83 / $1,186.72	Professional		$159.57	$655.83	$1,186.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $306.54 / $306.54 / $306.54	Professional		$306.54	$306.54	$306.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $213.18 / $675.11 / $675.11	Professional		$213.18	$675.11	$675.11
United Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $282.92 / $477.48	Professional		$121.79	$282.92	$477.48