Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.94 / $195.84 / $200.00	Facility		$113.94	$195.84	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $113.94 / $459.24	Professional		$66.13	$113.94	$459.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $123.60 / $417.86	Professional		$73.51	$123.60	$417.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.06 / $237.57 / $374.77	Facility		$209.06	$237.57	$374.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $268.64 / $305.29	Professional		$134.91	$268.64	$305.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.13 / $104.45 / $159.84	Facility		$66.13	$104.45	$159.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.13 / $111.41 / $1,376.32	Facility		$66.13	$111.41	$1,376.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $206.12 / $745.00	Professional		$84.38	$206.12	$745.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $63.07 / $138.97	Professional		$38.20	$63.07	$138.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $66.13 / $104.45 / $184.80	Facility		$66.13	$104.45	$184.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.95 / $275.58 / $434.86	Professional		$183.95	$275.58	$434.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,653.45 / $1,653.45 / $1,653.45	Facility		$1,653.45	$1,653.45	$1,653.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $397.13 / $745.00	Professional		$113.16	$397.13	$745.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.35 / $199.35 / $199.35	Professional		$199.35	$199.35	$199.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $247.83 / $478.71 / $478.71	Professional		$247.83	$478.71	$478.71
United Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $187.36 / $333.33	Professional		$84.38	$187.36	$333.33