Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.47 / $144.91 / $200.00	Facility		$103.47	$144.91	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $73.47 / $144.91	Professional		$60.09	$73.47	$144.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $246.00 / $493.00	Facility		$141.00	$246.00	$493.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.76 / $155.84 / $423.82	Professional		$66.76	$155.84	$423.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.51 / $232.40 / $293.91	Facility		$204.51	$232.40	$293.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $243.93 / $277.19	Professional		$94.64	$243.93	$277.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.20 / $103.47 / $173.12	Facility		$60.20	$103.47	$173.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.20 / $103.47 / $348.36	Facility		$60.20	$103.47	$348.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $187.66 / $678.50	Professional		$85.25	$187.66	$678.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $58.40 / $123.82	Professional		$25.07	$58.40	$123.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $60.20 / $103.47 / $173.12	Facility		$60.20	$103.47	$173.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $202.55 / $294.95	Professional		$135.19	$202.55	$294.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $165.70 / $348.36 / $348.36	Facility		$165.70	$348.36	$348.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.01 / $355.20 / $678.50	Professional		$113.01	$355.20	$678.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.89 / $177.89 / $177.89	Professional		$177.89	$177.89	$177.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $157.29 / $434.65 / $434.65	Professional		$157.29	$434.65	$434.65
United Facility/Professional Facility Modifier Low / Median / High Price $385.04 / $385.04 / $385.04	Facility		$385.04	$385.04	$385.04
United Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $177.60 / $362.24	Professional		$79.06	$177.60	$362.24