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 / $191.57 / $672.77	Professional		$118.32	$191.57	$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 $184.19 / $433.96 / $493.14	Professional		$184.19	$433.96	$493.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $147.33 / $267.02	Facility		$106.52	$147.33	$267.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $171.12 / $1,027.46	Facility		$106.52	$171.12	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $332.57 / $1,787.68	Professional		$136.29	$332.57	$1,787.68
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 / $147.33 / $277.29	Facility		$106.52	$147.33	$277.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $242.45 / $363.23 / $843.26	Professional		$242.45	$363.23	$843.26
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 / $972.41 / $1,787.68	Professional		$182.77	$972.41	$1,787.68
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 Professional Modifier Low / Median / High Price $134.13 / $301.79 / $603.37	Professional		$134.13	$301.79	$603.37