Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.75 / $200.00 / $228.78	Facility		$160.75	$200.00	$228.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $135.41 / $228.78	Professional		$93.39	$135.41	$228.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $212.00 / $665.15	Professional		$103.71	$212.00	$665.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.66 / $333.81 / $512.07	Facility		$285.66	$333.81	$512.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.12 / $482.14 / $547.89	Professional		$140.12	$482.14	$547.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.35 / $159.44 / $338.00	Facility		$102.35	$159.44	$338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.35 / $159.44 / $338.00	Facility		$102.35	$159.44	$338.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $266.43 / $1,846.00	Professional		$122.34	$266.43	$1,846.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.78 / $99.04 / $200.86	Professional		$59.78	$99.04	$200.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $102.35 / $159.44 / $338.00	Facility		$102.35	$159.44	$338.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $319.41 / $571.04	Professional		$213.20	$319.41	$571.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $496.55 / $496.55 / $496.55	Facility		$496.55	$496.55	$496.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $532.85 / $1,846.00	Professional		$180.34	$532.85	$1,846.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $379.99 / $662.07 / $662.07	Professional		$379.99	$662.07	$662.07
United Facility/Professional Professional Modifier Low / Median / High Price $121.43 / $253.46 / $502.69	Professional		$121.43	$253.46	$502.69