Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.60 / $200.00 / $228.08	Facility		$162.60	$200.00	$228.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $162.60 / $655.36	Professional		$94.48	$162.60	$655.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $162.60 / $596.91	Professional		$104.90	$162.60	$596.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.37 / $337.92 / $533.07	Facility		$297.37	$337.92	$533.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $383.14 / $435.39	Professional		$157.12	$383.14	$435.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $94.48 / $129.75 / $248.30	Facility		$94.48	$129.75	$248.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.48 / $130.03 / $1,027.46	Facility		$94.48	$130.03	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.23 / $287.99 / $1,031.53	Professional		$121.23	$287.99	$1,031.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $103.95 / $250.42	Professional		$56.22	$103.95	$250.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $94.48 / $129.75 / $257.85	Facility		$94.48	$129.75	$257.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $213.20 / $319.41 / $587.79	Professional		$213.20	$319.41	$587.79
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 $161.37 / $566.20 / $1,031.53	Professional		$161.37	$566.20	$1,031.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $284.79 / $284.79 / $284.79	Professional		$284.79	$284.79	$284.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $329.76 / $682.71 / $682.71	Professional		$329.76	$682.71	$682.71
United Facility/Professional Professional Modifier Low / Median / High Price $121.23 / $277.00 / $477.78	Professional		$121.23	$277.00	$477.78