Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $192.28 / $200.00	Facility		$192.28	$192.28	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.18 / $184.25 / $192.28	Professional		$131.18	$184.25	$192.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $279.61 / $804.15	Professional		$124.05	$279.61	$804.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.84 / $417.00 / $639.69	Facility		$356.84	$417.00	$639.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.78 / $662.41 / $752.74	Professional		$175.78	$662.41	$752.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.04 / $167.35 / $242.88	Facility		$79.04	$167.35	$242.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.04 / $179.39 / $263.92	Facility		$79.04	$179.39	$263.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $289.45 / $847.87	Professional		$143.11	$289.45	$847.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $400.75	Professional		$50.00	$70.00	$400.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.04 / $167.35 / $242.88	Facility		$79.04	$167.35	$242.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $238.55 / $290.66 / $418.25	Professional		$238.55	$290.66	$418.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,190.96 / $1,190.96 / $1,190.96	Facility		$1,190.96	$1,190.96	$1,190.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $186.82 / $680.40 / $847.87	Professional		$186.82	$680.40	$847.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $923.14 / $923.14 / $923.14	Professional		$923.14	$923.14	$923.14
United Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $272.16 / $641.89	Professional		$143.11	$272.16	$641.89