Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.01 / $200.00 / $885.28	Facility		$161.01	$200.00	$885.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $112.97 / $223.04	Professional		$90.43	$112.97	$223.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.24 / $214.14 / $597.04	Professional		$100.24	$214.14	$597.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.95 / $341.18 / $453.46	Facility		$291.95	$341.18	$453.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $376.60 / $427.95	Professional		$99.99	$376.60	$427.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $125.34 / $213.13	Facility		$90.47	$125.34	$213.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $150.44 / $268.82	Facility		$90.47	$150.44	$268.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $235.49 / $689.38	Professional		$104.66	$235.49	$689.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $80.11 / $186.96	Professional		$38.20	$80.11	$186.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $90.47 / $126.89 / $213.13	Facility		$90.47	$126.89	$213.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $253.20 / $412.41	Professional		$75.43	$253.20	$412.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $255.83 / $1,012.16 / $1,012.16	Facility		$255.83	$1,012.16	$1,012.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.61 / $498.55 / $689.38	Professional		$158.61	$498.55	$689.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $277.47 / $277.47 / $277.47	Professional		$277.47	$277.47	$277.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $598.83 / $671.04 / $714.93	Professional		$598.83	$671.04	$714.93
United Facility/Professional Facility Modifier Low / Median / High Price $187.89 / $187.89 / $187.89	Facility		$187.89	$187.89	$187.89
United Facility/Professional Professional Modifier Low / Median / High Price $104.66 / $197.40 / $425.26	Professional		$104.66	$197.40	$425.26