Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.97 / $176.97 / $200.00	Facility		$176.97	$176.97	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.93 / $126.12 / $176.97	Professional		$101.93	$126.12	$176.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.31 / $221.69 / $566.90	Professional		$88.31	$221.69	$566.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $321.17 / $426.87	Facility		$274.83	$321.17	$426.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $355.54 / $404.03	Professional		$109.97	$355.54	$404.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $120.15 / $193.47	Facility		$89.66	$120.15	$193.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.86 / $122.21 / $230.06	Facility		$90.86	$122.21	$230.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.28 / $389.38 / $793.56	Professional		$168.28	$389.38	$793.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $66.50 / $168.61	Professional		$38.42	$66.50	$168.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $118.97 / $193.47	Facility		$89.66	$118.97	$193.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $181.35 / $220.08 / $316.83	Professional		$181.35	$220.08	$316.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $219.48 / $422.37 / $422.37	Facility		$219.48	$422.37	$422.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.68 / $469.50 / $793.56	Professional		$149.68	$469.50	$793.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $260.08 / $260.08 / $260.08	Professional		$260.08	$260.08	$260.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $468.07 / $638.51 / $1,465.34	Professional		$468.07	$638.51	$1,465.34
United Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $321.25 / $706.20	Professional		$168.54	$321.25	$706.20