Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.01 / $200.00 / $224.44	Facility		$162.01	$200.00	$224.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $123.33 / $261.00	Professional		$94.30	$123.33	$261.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $247.66 / $665.22	Professional		$104.52	$247.66	$665.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $342.23 / $454.86	Facility		$292.86	$342.23	$454.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $377.77 / $429.29	Professional		$112.64	$377.77	$429.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $82.72 / $162.01 / $229.05	Facility		$82.72	$162.01	$229.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.06 / $162.01 / $389.32	Facility		$89.06	$162.01	$389.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.93 / $284.64 / $1,021.00	Professional		$122.93	$284.64	$1,021.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $80.11 / $186.96	Professional		$38.20	$80.11	$186.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $82.72 / $162.01 / $252.00	Facility		$82.72	$162.01	$252.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $209.95 / $314.54 / $501.22	Professional		$209.95	$314.54	$501.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $256.63 / $734.94 / $734.94	Facility		$256.63	$734.94	$734.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.10 / $573.90 / $1,021.00	Professional		$159.10	$573.90	$1,021.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $279.22 / $279.22 / $279.22	Professional		$279.22	$279.22	$279.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $270.10 / $673.11 / $673.11	Professional		$270.10	$673.11	$673.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,035.42 / $1,035.42 / $1,035.42	Facility		$1,035.42	$1,035.42	$1,035.42
United Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $264.41 / $503.64	Professional		$120.54	$264.41	$503.64