Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.76 / $200.00 / $213.01	Facility		$151.76	$200.00	$213.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $151.76 / $608.53	Professional		$88.06	$151.76	$608.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.91 / $151.76 / $551.04	Professional		$97.91	$151.76	$551.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $314.37 / $495.92	Facility		$276.64	$314.37	$495.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.75 / $355.43 / $403.90	Professional		$146.75	$355.43	$403.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $120.67 / $214.50	Facility		$88.06	$120.67	$214.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $121.18 / $1,027.46	Facility		$88.06	$121.18	$1,027.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.03 / $266.49 / $907.42	Professional		$112.03	$266.49	$907.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $86.67 / $185.73	Professional		$50.09	$86.67	$185.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $120.67 / $214.50	Facility		$88.06	$120.67	$214.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.55 / $298.95 / $429.78	Professional		$199.55	$298.95	$429.78
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 $149.69 / $504.40 / $907.42	Professional		$149.69	$504.40	$907.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $265.00 / $265.00	Professional		$265.00	$265.00	$265.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $250.50 / $633.37 / $633.37	Professional		$250.50	$633.37	$633.37
United Facility/Professional Professional Modifier Low / Median / High Price $107.16 / $230.35 / $442.11	Professional		$107.16	$230.35	$442.11