Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.07 / $156.07 / $156.07	Facility		$156.07	$156.07	$156.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $131.13 / $156.07	Professional		$115.97	$131.13	$156.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.33 / $59.33 / $566.66	Professional		$59.33	$59.33	$566.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.42 / $304.33 / $466.84	Facility		$260.42	$304.33	$466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $387.65 / $440.51	Professional		$119.36	$387.65	$440.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $156.07	Facility		$70.48	$70.48	$156.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $94.42 / $602.14	Facility		$70.48	$94.42	$602.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $98.33 / $376.44	Professional		$54.35	$98.33	$376.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $3,000.00	Professional		$55.00	$85.00	$3,000.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $156.07	Facility		$70.48	$70.48	$156.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $234.48 / $334.40	Professional		$132.79	$234.48	$334.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $257.39 / $257.39 / $602.14	Facility		$257.39	$257.39	$602.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $51.51 / $77.36	Professional		$46.71	$51.51	$77.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $170.73 / $200.86 / $464.82	Professional		$170.73	$200.86	$464.82
United Facility/Professional Facility Modifier Low / Median / High Price $635.55 / $647.33 / $2,693.42	Facility		$635.55	$647.33	$2,693.42
United Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $99.02 / $376.44	Professional		$56.05	$99.02	$376.44