Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.03 / $200.00 / $250.27	Facility		$180.03	$200.00	$250.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $180.03 / $250.27	Professional		$122.90	$180.03	$250.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $253.93 / $755.10	Professional		$116.15	$253.93	$755.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $317.19 / $370.67 / $568.61	Facility		$317.19	$370.67	$568.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $418.91 / $476.04	Professional		$172.41	$418.91	$476.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $145.43 / $494.00	Facility		$106.29	$145.43	$494.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $145.43 / $513.00	Facility		$106.29	$145.43	$513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $330.46 / $1,114.50	Professional		$137.87	$330.46	$1,114.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $78.64 / $255.53	Professional		$25.98	$78.64	$255.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $145.43 / $494.00	Facility		$106.29	$145.43	$494.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $229.45 / $343.75 / $506.54	Professional		$229.45	$343.75	$506.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $607.26 / $607.26 / $607.26	Facility		$607.26	$607.26	$607.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.20 / $630.87 / $1,114.50	Professional		$199.20	$630.87	$1,114.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $409.17 / $409.17 / $409.17	Professional		$409.17	$409.17	$409.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $499.29 / $731.30 / $731.30	Professional		$499.29	$731.30	$731.30
United Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $304.85 / $586.36	Professional		$136.69	$304.85	$586.36