Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.24 / $195.24 / $200.00	Facility		$195.24	$195.24	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $137.16 / $195.24	Professional		$113.36	$137.16	$195.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $236.81 / $806.90	Professional		$125.96	$236.81	$806.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.41 / $474.92 / $728.53	Facility		$406.41	$474.92	$728.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.75 / $364.80 / $586.28	Professional		$151.75	$364.80	$586.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $88.38 / $167.44 / $271.13	Facility		$88.38	$167.44	$271.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $165.04 / $271.13	Facility		$68.00	$165.04	$271.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.53 / $250.65 / $854.73	Professional		$139.53	$250.65	$854.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $70.00 / $384.24	Professional		$38.70	$70.00	$384.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.20 / $167.44 / $271.13	Facility		$84.20	$167.44	$271.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $315.52 / $590.08	Professional		$240.00	$315.52	$590.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $605.54 / $605.54	Facility		$148.80	$605.54	$605.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $191.41 / $676.20 / $854.73	Professional		$191.41	$676.20	$854.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $375.85 / $375.85 / $375.85	Professional		$375.85	$375.85	$375.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $674.98 / $930.83 / $930.83	Professional		$674.98	$930.83	$930.83
United Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $249.59 / $520.51	Professional		$139.72	$249.59	$520.51