Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.45 / $172.45 / $200.00	Facility		$172.45	$172.45	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $115.90 / $172.45	Professional		$98.70	$115.90	$172.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $235.48 / $713.12	Professional		$111.26	$235.48	$713.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.02 / $489.66 / $751.15	Facility		$419.02	$489.66	$751.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $333.97 / $606.10	Professional		$130.79	$333.97	$606.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $159.07 / $306.14	Facility		$78.00	$159.07	$306.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.66 / $146.07 / $306.14	Facility		$77.66	$146.07	$306.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $331.29 / $1,584.74	Professional		$167.09	$331.29	$1,584.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $74.39 / $384.24	Professional		$45.35	$74.39	$384.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $159.07 / $306.14	Facility		$78.00	$159.07	$306.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.20 / $284.45 / $654.66	Professional		$202.20	$284.45	$654.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $130.11 / $818.13 / $818.13	Facility		$130.11	$818.13	$818.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.11 / $702.50 / $1,584.74	Professional		$169.11	$702.50	$1,584.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $389.46 / $389.46 / $389.46	Professional		$389.46	$389.46	$389.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $667.02 / $961.89 / $961.89	Professional		$667.02	$961.89	$961.89
United Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $324.29 / $636.64	Professional		$167.09	$324.29	$636.64