Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.80 / $101.80 / $200.00	Facility		$101.80	$101.80	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $78.84 / $101.80	Professional		$59.46	$78.84	$101.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $123.47 / $370.61	Professional		$65.68	$123.47	$370.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.76 / $416.77 / $657.46	Facility		$366.76	$416.77	$657.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $471.32 / $535.59	Professional		$97.78	$471.32	$535.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $59.46 / $132.78 / $242.94	Facility		$59.46	$132.78	$242.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.46 / $153.00 / $1,376.32	Facility		$59.46	$153.00	$1,376.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.99 / $253.84 / $982.00	Professional		$135.99	$253.84	$982.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $85.00 / $391.60	Professional		$25.56	$85.00	$391.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $59.46 / $101.80 / $242.94	Facility		$59.46	$101.80	$242.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $134.55 / $197.06 / $1,044.95	Professional		$134.55	$197.06	$1,044.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,653.45 / $1,653.45 / $1,653.45	Facility		$1,653.45	$1,653.45	$1,653.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $625.00 / $982.00	Professional		$100.62	$625.00	$982.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $342.46 / $342.46 / $342.46	Professional		$342.46	$342.46	$342.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.92 / $851.57 / $851.57	Professional		$407.92	$851.57	$851.57
United Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $242.86 / $551.89	Professional		$123.63	$242.86	$551.89