Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.62 / $143.88 / $200.00	Facility		$101.62	$143.88	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $101.62 / $410.21	Professional		$58.88	$101.62	$410.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $101.62 / $371.83	Professional		$65.56	$101.62	$371.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.43 / $212.99 / $336.00	Facility		$187.43	$212.99	$336.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $239.83 / $272.54	Professional		$99.12	$239.83	$272.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $81.66 / $131.49	Facility		$58.88	$81.66	$131.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $81.86 / $3,338.03	Facility		$58.88	$81.86	$3,338.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $162.91 / $445.73	Professional		$74.84	$162.91	$445.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.48 / $63.07 / $138.97	Professional		$37.48	$63.07	$138.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $81.66 / $135.94	Facility		$58.88	$81.66	$135.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $164.86 / $281.77	Professional		$135.85	$164.86	$281.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,042.45 / $4,042.45 / $4,042.45	Facility		$4,042.45	$4,042.45	$4,042.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $338.00 / $445.73	Professional		$101.02	$338.00	$445.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $177.04 / $177.04	Professional		$177.04	$177.04	$177.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $237.55 / $427.38 / $427.38	Professional		$237.55	$427.38	$427.38
United Facility/Professional Professional Modifier Low / Median / High Price $73.88 / $142.91 / $296.26	Professional		$73.88	$142.91	$296.26