Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $362.09	Facility		$200.00	$200.00	$362.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.58 / $231.06 / $362.09	Professional		$165.58	$231.06	$362.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $199.73 / $599.17	Professional		$93.54	$199.73	$599.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.36 / $336.97 / $516.91	Facility		$288.36	$336.97	$516.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.69 / $257.60 / $420.59	Professional		$109.69	$257.60	$420.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.94 / $213.88 / $338.43	Facility		$85.94	$213.88	$338.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $208.38 / $351.44	Facility		$75.00	$208.38	$351.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $391.77 / $1,272.00	Professional		$118.39	$391.77	$1,272.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $67.92 / $224.37	Professional		$42.11	$67.92	$224.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $213.88 / $362.09	Facility		$75.00	$213.88	$362.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.80 / $231.12 / $422.97	Professional		$175.80	$231.12	$422.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $514.16 / $514.16	Facility		$109.23	$514.16	$514.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $489.90 / $1,272.00	Professional		$142.60	$489.90	$1,272.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.99 / $269.99 / $269.99	Professional		$269.99	$269.99	$269.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $485.31 / $666.24 / $666.24	Professional		$485.31	$666.24	$666.24
United Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $334.11 / $999.17	Professional		$157.97	$334.11	$999.17