Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.38 / $200.00 / $216.65	Facility		$154.38	$200.00	$216.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $154.38 / $620.61	Professional		$89.64	$154.38	$620.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $154.38 / $565.09	Professional		$99.60	$154.38	$565.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.05 / $320.51 / $505.61	Facility		$282.05	$320.51	$505.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.25 / $362.76 / $412.23	Professional		$149.25	$362.76	$412.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $89.64 / $123.24 / $202.50	Facility		$89.64	$123.24	$202.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.64 / $123.25 / $1,027.46	Facility		$89.64	$123.25	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $264.37 / $839.89	Professional		$114.48	$264.37	$839.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $102.63 / $250.42	Professional		$38.20	$102.63	$250.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $89.64 / $123.24 / $203.70	Facility		$89.64	$123.24	$203.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $303.83 / $438.64	Professional		$202.80	$303.83	$438.64
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 $152.78 / $515.15 / $839.89	Professional		$152.78	$515.15	$839.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $269.58 / $269.58	Professional		$269.58	$269.58	$269.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $306.55 / $646.37 / $646.37	Professional		$306.55	$646.37	$646.37
United Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $251.60 / $451.53	Professional		$112.61	$251.60	$451.53