Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.49 / $110.49 / $110.49	Facility		$110.49	$110.49	$110.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $92.83 / $110.49	Professional		$82.09	$92.83	$110.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $42.05 / $401.79	Professional		$42.05	$42.05	$401.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.83 / $214.82 / $329.54	Facility		$183.83	$214.82	$329.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $250.86 / $311.83	Professional		$84.25	$250.86	$311.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $45.17 / $110.49	Facility		$45.17	$45.17	$110.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $66.84 / $426.26	Facility		$45.17	$66.84	$426.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $69.54 / $181.08	Professional		$35.21	$69.54	$181.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $75.65 / $3,000.00	Professional		$55.00	$75.65	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $45.17 / $110.49	Facility		$45.17	$45.17	$110.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $169.59 / $236.50	Professional		$93.91	$169.59	$236.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $182.22 / $182.22 / $426.26	Facility		$182.22	$182.22	$426.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.99 / $33.02 / $49.66	Professional		$32.99	$33.02	$49.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $206.00 / $206.00	Professional		$206.00	$206.00	$206.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $206.00 / $206.00 / $206.00	Professional		$206.00	$206.00	$206.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $58.77 / $181.08	Professional		$38.60	$58.77	$181.08