Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.03 / $199.49 / $200.00	Facility		$146.03	$199.49	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $103.12 / $199.49	Professional		$84.52	$103.12	$199.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $192.60 / $538.26	Professional		$85.98	$192.60	$538.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.73 / $311.70 / $414.27	Facility		$266.73	$311.70	$414.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $342.80 / $389.55	Professional		$86.88	$342.80	$389.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $105.94 / $188.10	Facility		$80.64	$105.94	$188.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.93 / $106.39 / $230.40	Facility		$80.93	$106.39	$230.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $214.37 / $640.03	Professional		$94.00	$214.37	$640.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.69 / $66.86 / $148.66	Professional		$38.69	$66.86	$148.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $106.39 / $188.10	Facility		$80.64	$106.39	$188.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $185.90 / $226.57 / $346.16	Professional		$185.90	$226.57	$346.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $232.88 / $972.00 / $972.00	Facility		$232.88	$972.00	$972.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $444.75 / $640.03	Professional		$144.38	$444.75	$640.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $256.80 / $256.80 / $256.80	Professional		$256.80	$256.80	$256.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $157.30 / $566.19 / $610.84	Professional		$157.30	$566.19	$610.84
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $192.51 / $389.82	Professional		$93.47	$192.51	$389.82