Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.99 / $128.99 / $200.00	Facility		$128.99	$128.99	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $92.58 / $128.99	Professional		$76.29	$92.58	$128.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $194.93 / $560.33	Professional		$83.22	$194.93	$560.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.83 / $310.64 / $501.06	Facility		$265.83	$310.64	$501.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.85 / $320.42 / $385.66	Professional		$123.85	$320.42	$385.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $116.93 / $196.40	Facility		$32.81	$116.93	$196.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $116.93 / $196.40	Facility		$32.81	$116.93	$196.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $189.26 / $557.41	Professional		$102.14	$189.26	$557.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.41 / $70.00 / $223.32	Professional		$34.41	$70.00	$223.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $116.93 / $196.40	Facility		$32.81	$116.93	$196.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $206.71 / $400.43	Professional		$169.65	$206.71	$400.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $740.25 / $740.25 / $740.25	Facility		$740.25	$740.25	$740.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $441.80 / $798.89	Professional		$127.45	$441.80	$798.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $246.86 / $246.86 / $246.86	Professional		$246.86	$246.86	$246.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $516.99 / $611.38 / $611.38	Professional		$516.99	$611.38	$611.38
United Facility/Professional Professional Modifier Low / Median / High Price $101.81 / $210.49 / $404.59	Professional		$101.81	$210.49	$404.59