Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.23 / $246.23 / $267.80	Facility		$246.23	$246.23	$267.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $246.23 / $334.40	Professional		$112.20	$246.23	$334.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $215.62	Professional		$125.00	$125.00	$215.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $317.33 / $317.33	Professional		$317.33	$317.33	$317.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $246.23 / $246.23	Facility		$105.00	$246.23	$246.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $246.23 / $246.23	Facility		$105.00	$246.23	$246.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $306.64 / $306.64	Professional		$157.25	$306.64	$306.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,250.00	Professional		$50.00	$70.00	$1,250.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $246.23 / $246.23	Facility		$105.00	$246.23	$246.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.64 / $306.64 / $306.64	Professional		$306.64	$306.64	$306.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $386.25 / $386.25 / $386.25	Professional		$386.25	$386.25	$386.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $386.25 / $386.25 / $386.25	Professional		$386.25	$386.25	$386.25
United Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $157.25 / $157.25	Professional		$157.25	$157.25	$157.25