Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $271.25 / $762.30	Facility		$200.00	$271.25	$762.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $235.87 / $649.00	Professional		$113.09	$235.87	$649.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $236.50 / $866.37	Professional		$152.16	$236.50	$866.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.83 / $502.30 / $770.53	Facility		$429.83	$502.30	$770.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.25 / $552.32 / $627.64	Professional		$154.25	$552.32	$627.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $171.66 / $310.36	Facility		$104.90	$171.66	$310.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.24 / $191.44 / $412.43	Facility		$108.24	$191.44	$412.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $306.66 / $1,029.11	Professional		$137.16	$306.66	$1,029.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $150.34 / $315.99	Professional		$57.01	$150.34	$315.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $108.24 / $171.66 / $307.56	Facility		$108.24	$171.66	$307.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $130.32 / $363.64 / $667.86	Professional		$130.32	$363.64	$667.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $426.80 / $697.88 / $697.88	Facility		$426.80	$697.88	$697.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $232.62 / $786.30 / $1,029.11	Professional		$232.62	$786.30	$1,029.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $413.34 / $413.34 / $413.34	Professional		$413.34	$413.34	$413.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $279.52 / $984.16 / $984.16	Professional		$279.52	$984.16	$984.16
United Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $225.68 / $756.20	Professional		$143.05	$225.68	$756.20