Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $355.61	Facility		$200.00	$200.00	$355.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.57 / $253.45 / $355.61	Professional		$192.57	$253.45	$355.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $208.37 / $493.61	Professional		$77.98	$208.37	$493.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $250.51 / $292.74 / $389.08	Facility		$250.51	$292.74	$389.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $319.55 / $363.13	Professional		$97.14	$319.55	$363.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $198.64 / $355.61	Facility		$84.06	$198.64	$355.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.39 / $199.72 / $462.29	Facility		$87.39	$199.72	$462.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $531.66 / $858.02	Professional		$169.90	$531.66	$858.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $65.14 / $168.22	Professional		$32.34	$65.14	$168.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $198.64 / $355.61	Facility		$84.06	$198.64	$355.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.60 / $223.23 / $277.08	Professional		$158.60	$223.23	$277.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $501.12 / $738.95 / $738.95	Facility		$501.12	$738.95	$738.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.05 / $411.10 / $565.13	Professional		$129.05	$411.10	$565.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $233.14 / $233.14 / $233.14	Professional		$233.14	$233.14	$233.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $420.47 / $575.78 / $1,326.29	Professional		$420.47	$575.78	$1,326.29
United Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $408.53 / $937.31	Professional		$169.90	$408.53	$937.31