Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.53 / $149.00 / $200.00	Facility		$105.53	$149.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $91.45 / $124.40	Professional		$62.28	$91.45	$124.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $139.18 / $437.41	Professional		$68.08	$139.18	$437.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.53 / $217.98 / $334.38	Facility		$186.53	$217.98	$334.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.99 / $315.39 / $358.40	Professional		$92.99	$315.39	$358.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $104.55 / $240.50	Facility		$66.68	$104.55	$240.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.68 / $104.55 / $240.50	Facility		$67.68	$104.55	$240.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $175.55 / $1,410.00	Professional		$80.63	$175.55	$1,410.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $85.00 / $132.94	Professional		$39.92	$85.00	$132.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $104.55 / $240.50	Facility		$66.68	$104.55	$240.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $206.45 / $790.65	Professional		$137.80	$206.45	$790.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $370.00 / $370.00 / $370.00	Facility		$370.00	$370.00	$370.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.97 / $351.10 / $1,410.00	Professional		$117.97	$351.10	$1,410.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $255.79 / $433.08 / $433.08	Professional		$255.79	$433.08	$433.08
United Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $167.00 / $394.15	Professional		$80.01	$167.00	$394.15