Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.15 / $175.15 / $200.00	Facility		$175.15	$175.15	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $121.03 / $175.15	Professional		$97.71	$121.03	$175.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $203.64 / $729.63	Professional		$113.00	$203.64	$729.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.54 / $409.63 / $628.38	Facility		$350.54	$409.63	$628.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.74 / $313.60 / $514.48	Professional		$130.74	$313.60	$514.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.35 / $122.28 / $245.21	Facility		$97.35	$122.28	$245.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $126.32 / $252.10	Facility		$83.66	$126.32	$252.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.05 / $232.12 / $748.56	Professional		$132.05	$232.12	$748.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $121.08 / $223.32	Professional		$58.40	$121.08	$223.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $122.47 / $245.21	Facility		$91.56	$122.47	$245.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.92 / $276.08 / $505.26	Professional		$175.92	$276.08	$505.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $130.49 / $529.82 / $529.82	Facility		$130.49	$529.82	$529.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.24 / $600.40 / $748.56	Professional		$172.24	$600.40	$748.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.40 / $331.40 / $331.40	Professional		$331.40	$331.40	$331.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $596.16 / $813.43 / $813.43	Professional		$596.16	$813.43	$813.43
United Facility/Professional Professional Modifier Low / Median / High Price $130.24 / $213.15 / $521.15	Professional		$130.24	$213.15	$521.15