Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.84 / $121.84 / $200.00	Facility		$121.84	$121.84	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $85.25 / $121.84	Professional		$71.37	$85.25	$121.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $179.13 / $503.79	Professional		$78.61	$179.13	$503.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.80 / $279.05 / $370.88	Facility		$238.80	$279.05	$370.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $306.01 / $347.74	Professional		$113.96	$306.01	$347.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $68.87 / $112.32 / $180.90	Facility		$68.87	$112.32	$180.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $116.64 / $195.97	Facility		$71.37	$116.64	$195.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $228.00 / $857.73	Professional		$95.53	$228.00	$857.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $70.00 / $201.50	Professional		$33.85	$70.00	$201.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $68.87 / $108.83 / $180.90	Facility		$68.87	$108.83	$180.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $239.55 / $476.53	Professional		$159.90	$239.55	$476.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $192.38 / $672.75 / $672.75	Facility		$192.38	$672.75	$672.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $419.55 / $857.73	Professional		$131.19	$419.55	$857.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.35 / $223.35 / $223.35	Professional		$223.35	$223.35	$223.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $401.38 / $551.30 / $551.30	Professional		$401.38	$551.30	$551.30
United Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $209.50 / $381.80	Professional		$92.13	$209.50	$381.80