Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $130.19 / $130.19	Facility		$130.19	$130.19	$130.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $93.58 / $130.19	Professional		$66.20	$93.58	$130.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.39 / $49.39 / $472.45	Professional		$49.39	$49.39	$472.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.17 / $253.78 / $389.31	Facility		$217.17	$253.78	$389.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.42 / $176.78 / $367.45	Professional		$62.42	$176.78	$367.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $96.73 / $176.11	Facility		$65.48	$96.73	$176.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.02 / $100.25 / $192.50	Facility		$72.02	$100.25	$192.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.85 / $69.25 / $739.96	Professional		$37.85	$69.25	$739.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $373.49	Professional		$50.00	$65.00	$373.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $98.83 / $176.26	Facility		$68.40	$98.83	$176.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $239.29 / $365.23	Professional		$151.80	$239.29	$365.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $125.64 / $502.28 / $502.28	Facility		$125.64	$502.28	$502.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.86 / $577.10 / $739.96	Professional		$63.86	$577.10	$739.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $359.47 / $359.47 / $359.47	Professional		$359.47	$359.47	$359.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $359.47 / $359.47 / $359.47	Professional		$359.47	$359.47	$359.47
United Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $69.25 / $169.03	Professional		$40.92	$69.25	$169.03