Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.39 / $200.00 / $258.98	Facility		$183.39	$200.00	$258.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $183.39 / $738.91	Professional		$106.52	$183.39	$738.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $183.39 / $672.77	Professional		$118.32	$183.39	$672.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.02 / $382.98 / $604.15	Facility		$337.02	$382.98	$604.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $433.96 / $493.14	Professional		$178.40	$433.96	$493.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $147.16 / $236.34	Facility		$106.52	$147.16	$236.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $147.33 / $1,027.46	Facility		$106.52	$147.33	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $299.68 / $906.00	Professional		$136.29	$299.68	$906.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $105.02 / $250.42	Professional		$56.22	$105.02	$250.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $147.16 / $243.54	Facility		$106.52	$147.16	$243.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $242.45 / $363.23 / $524.74	Professional		$242.45	$363.23	$524.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,229.45 / $1,229.45 / $1,229.45	Facility		$1,229.45	$1,229.45	$1,229.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $182.77 / $613.60 / $906.00	Professional		$182.77	$613.60	$906.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $320.52 / $320.52 / $320.52	Professional		$320.52	$320.52	$320.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $399.20 / $773.24 / $773.24	Professional		$399.20	$773.24	$773.24
United Facility/Professional Facility Modifier Low / Median / High Price $590.33 / $590.33 / $590.33	Facility		$590.33	$590.33	$590.33
United Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $280.04 / $537.82	Professional		$130.36	$280.04	$537.82