Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.85 / $137.93 / $200.00	Facility		$101.85	$137.93	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $101.85 / $451.08	Professional		$58.78	$101.85	$451.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $113.01 / $383.05	Professional		$65.70	$113.01	$383.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $214.02 / $337.61	Facility		$188.33	$214.02	$337.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.01 / $240.35 / $273.13	Professional		$95.01	$240.35	$273.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $87.74 / $145.81	Facility		$58.78	$87.74	$145.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $87.74 / $145.81	Facility		$58.78	$87.74	$145.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.50 / $155.49 / $502.00	Professional		$78.50	$155.49	$502.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.48 / $61.91 / $138.97	Professional		$37.48	$61.91	$138.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $87.74 / $145.81	Facility		$58.78	$87.74	$145.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $187.61 / $290.63	Professional		$128.69	$187.61	$290.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $418.95 / $418.95 / $418.95	Facility		$418.95	$418.95	$418.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.23 / $371.85 / $502.00	Professional		$101.23	$371.85	$502.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $185.26 / $185.26 / $185.26	Professional		$185.26	$185.26	$185.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $168.42 / $428.32 / $428.32	Professional		$168.42	$428.32	$428.32
United Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $142.40 / $325.93	Professional		$78.31	$142.40	$325.93